{
	"hospital_name": "Desert Valley Hospital",
	"last_updated_on": "2026-03-17",
	"version": "3.0",
	"location_name": [
		"Desert Valley Hospital"
	],
	"hospital_address": [
		"16850 Bear Valley Road Victorville, CA  92395"
	],
	"license_information": {
		"license_number": "330502805",
		"state": "CA"
	},
	"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": "Karyl James"
	},
	"type_2_npi": [
		"1851396576"
	],
	"standard_charge_information": [
		{
			"description": "2.3MMX18MM NON-TOGGLING COR SC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "*11ADDL NECK SPINE FUSION",
			"code_information": [
				{
					"code": "22552",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1819.5,
					"minimum": 328.74,
					"maximum": 1819.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 351.75
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 476.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 1819.5,
					"minimum": 328.74,
					"maximum": 1819.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 351.75
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 476.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.74
						}
					]
				}
			]
		},
		{
			"description": "1/3 TUBULAR PLATE 5 HOLE",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "1.5X12MM CORT SCREW NONLCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.3X10MM STABILIZ SCRW LOCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "12/14 TPR 4 TITANIUM MODULAR",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.4MM X14MM STAB SCRW LCKNG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "1/3 TUBULAR PLATE 6-HOLE",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.4 GUIDEWIRE",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.3X12MM STABILIZ SCREW LOCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.7MMX10MM CORT SCREW NON LOCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.3MMX18MM LKG VAR ANGLE SCRW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.4MMX10MM STAB SCREW LOCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.4MMX22MM STAB SCRW LCKNG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2NDRY FIXATION BIOCMP/SWVLK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.7MM X 22MM HEXALOBE VA SCREW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.0MMX18MM CORT SCREW LOCKING",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.7MMX20MM CORT SCREW NON LOCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.0MMX18MM CAN SCREW LCKNG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.7MMX24MM NON LCKING HEXA SCR",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "4.5MM LOCKNG SCREW 36MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.0MMX14MM CAN SCREW LCKNG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.5MMX12.0MM CORTICAL SCRW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "2.7MMX40MM NONLCKNG HEXA SCRW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "5-HOLE DIST TUB LCK PLATE LFT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.2X228MM GUID WIRE SINGL PT",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.5MMX55MM CRT SCRW NON LCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "6H STRAIGHT COMP LK PLA 3.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "5H OLECRANON HOOK LOCKING PL",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.8X130MM FIB NAIL LT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3-4 GLENOID PEGS SZ SM CMNTD",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABDOMINAL PAIN - SOI : 1",
			"code_information": [
				{
					"code": "2511",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3970.07,
					"maximum": 4684.68,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3970.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4247.97,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3970.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3970.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4684.68,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3970.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3970.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3970.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "4.0MMX42MM CANN SCRW LNG THREA",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.0MMX16MM CAN SCREW LCKNG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABDOMINAL PAIN - SOI : 4",
			"code_information": [
				{
					"code": "2514",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10145.16,
					"maximum": 11971.29,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10145.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10855.32,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10145.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10145.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11971.29,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10145.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10145.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10145.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "6.5X70MM CANN SCREW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "4.5MM CORTEX SCREW 36MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "3.9MM BC ACHILLES PARS/AMSS",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABLATION SUPRAVEN TACHY",
			"code_information": [
				{
					"code": "93653",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 55548.4,
					"discounted_cash": 33452.0,
					"minimum": 659.46,
					"maximum": 84371.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42747.11,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21399.74
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33118.39,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50179.38,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33787.45,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46834.09,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49811.4,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47971.49,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 705.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43488.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41816.15,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35460.1,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41816.15,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 956.22
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46834.09,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42268.3,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33452.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40143.5,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44069.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "8HOLE STR LCKN PLT 2.0MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "4.5MM LCKNG SCREW 80MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "4.0MMX45MM CANCELLOUS HX SCRW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 2",
			"code_information": [
				{
					"code": "5642",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3745.55,
					"maximum": 4419.75,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3745.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4007.74,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3745.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3745.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4419.75,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3745.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3745.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3745.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "9 HOLE LOCK PLATE",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "4.75 BC KL TENODESIS IMP SYS",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "4.5MM CORTEX SCREW 38MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "accessory kit",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 0.66,
							"10th_percentile": 0.66,
							"90th_percentile": 0.66,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABD PARACENTESIS W/IMAGING - 49083 - 46349083",
			"code_information": [
				{
					"code": "49083",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5374.08,
					"discounted_cash": 1160.0,
					"minimum": 89.72,
					"maximum": 5374.08,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1483.32,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $2192",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 2118.0,
							"10th_percentile": 2054.71,
							"90th_percentile": 2192.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 641.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1149.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1741.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1172.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1728.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1664.6,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 96.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1509.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1230.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.09
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1466.7,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1392.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1529.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "4.75MM BIOCOMPOSITE  ANCHOR SW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "5HOLE PROLOCK LOCK PLATE LEFT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACCUSTICK II NITINOL .038X.018",
			"code_information": [
				{
					"code": "C1894",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 52.63,
							"10th_percentile": 52.63,
							"90th_percentile": 54.12,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 873.18,
							"10th_percentile": 873.18,
							"90th_percentile": 873.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 77.69,
							"10th_percentile": 66.69,
							"90th_percentile": 282.83,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABDOM PARACENTESIS W/IMAG",
			"code_information": [
				{
					"code": "49083",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3498.95,
					"discounted_cash": 1160.0,
					"minimum": 89.72,
					"maximum": 5374.08,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1483.32,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 641.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1149.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1741.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1172.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1728.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1664.6,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 96.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1509.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1230.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.09
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1466.7,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1392.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1529.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "4HOLE FIBULA LOCK PL RT 3.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "6.5MMX75MM CAN SCREW 22MM PT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACETABULAR SHELL",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WITHOUT D&C",
			"code_information": [
				{
					"code": "779",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8678.0,
					"minimum": 5624.53,
					"maximum": 48414.572,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14538.61
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 13040.5
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8254.71,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8421.47,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 11282.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12149.97,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 8678.55,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16037.96,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12922.36,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 12445.04,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11282.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10848.19,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13885.68,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8838.38,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 8678.55,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10848.19,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8678.55,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 12149.97,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13885.68,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8678.55,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 5624.53
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8338.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11506.56,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14988.26
						}
					]
				}
			]
		},
		{
			"description": "5 HIAA UR 24 LC",
			"code_information": [
				{
					"code": "83497",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 42.57,
					"discounted_cash": 12.0,
					"minimum": 12.771,
					"maximum": 42.57,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.21
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.77,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.03,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.21
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.07
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.13,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.67,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.13,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.07
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.3,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.91
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.91
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.99,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.85
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "8F PRUITT CAROTID SHUNT",
			"code_information": [
				{
					"code": "C1768",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 6545.0,
							"10th_percentile": 6545.0,
							"90th_percentile": 6545.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Acetone or Ketone, serum, quan",
			"code_information": [
				{
					"code": "82010",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 44.71,
					"discounted_cash": 8.0,
					"minimum": 8.0883,
					"maximum": 44.71,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.1
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.44,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.71
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.87
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 25.08,
							"10th_percentile": 25.08,
							"90th_percentile": 25.08,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.09,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.26,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.25,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.17
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.72
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.77
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.62,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.89
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.8,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.76,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACETABULAR LINER G7",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "5-(HIAA) UR LC 2",
			"code_information": [
				{
					"code": "83497",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 42.57,
					"discounted_cash": 12.0,
					"minimum": 12.771,
					"maximum": 42.57,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.85
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.21
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.77,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.03,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.21
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.07
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.13,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.67,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.13,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.07
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.3,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.91
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.91
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.15
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.99,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "A-1-ANTITRYPSIN LC",
			"code_information": [
				{
					"code": "82103",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 44.35,
					"discounted_cash": 13.0,
					"minimum": 13.305,
					"maximum": 44.35,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.32
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.17,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 24.89,
							"10th_percentile": 24.89,
							"90th_percentile": 24.89,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.35
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.16,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.82,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.47,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.25,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.82,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.98,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.13,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.71,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACHILLES SPEED IMPLANT SYSTEM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACHILLES SPEEDBRIDGE JUMPSTART - C1713 - 278447711",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "6 HOLE FIB LOCK PL RT 3.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABDOMINAL PAIN - SOI : 2",
			"code_information": [
				{
					"code": "2512",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5154.21,
					"maximum": 6081.97,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5154.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5515.0,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5154.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5154.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6081.97,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5154.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5154.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5154.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACID FAST CULT LC 6",
			"code_information": [
				{
					"code": "87015",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 65.31,
					"discounted_cash": 6.0,
					"minimum": 3.3,
					"maximum": 107.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.92
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.05
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.95
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AB ID/EACH PANEL & MEDIA",
			"code_information": [
				{
					"code": "86870",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1237.15,
					"discounted_cash": 458.0,
					"minimum": 18.96,
					"maximum": 1237.15,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.8
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 586.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.6
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 121.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 694.04,
							"10th_percentile": 694.04,
							"90th_percentile": 694.04,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.39
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 454.17,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 688.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 463.35,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 642.26,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 683.09,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 657.86,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.29
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 596.39,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 573.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.29,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 573.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.49
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 642.26,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 579.65,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 458.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.51,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 604.35,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 1",
			"code_information": [
				{
					"code": "5431",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4539.67,
					"maximum": 5356.81,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4539.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4857.45,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4539.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4539.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5356.81,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4539.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4539.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4539.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACID FAST CULT LC 9 - 87015 - 45102720",
			"code_information": [
				{
					"code": "87015",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 22.04,
					"discounted_cash": 6.0,
					"minimum": 3.3,
					"maximum": 107.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.95
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACID FAST CULT LC 9 - 87015 - 4510720",
			"code_information": [
				{
					"code": "87015",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 22.04,
					"discounted_cash": 6.0,
					"minimum": 3.3,
					"maximum": 107.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.95
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABD PARACENTESIS DX/THER W/O I",
			"code_information": [
				{
					"code": "49082",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3498.95,
					"discounted_cash": 1160.0,
					"minimum": 58.45,
					"maximum": 3498.95,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1728.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1664.6,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.54
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1509.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1230.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.75
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1466.7,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1392.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1529.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1483.32,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 641.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1149.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1741.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1172.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 2",
			"code_information": [
				{
					"code": "5432",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5975.15,
					"maximum": 7050.68,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5975.15,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6393.41,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5975.15,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5975.15,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7050.68,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5975.15,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5975.15,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5975.15,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACOUS ELECTR CARD MULTI AV/VV",
			"code_information": [
				{
					"code": "93799",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 408.96,
					"discounted_cash": 164.0,
					"minimum": 108.83,
					"maximum": 408.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.43,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 108.83
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 247.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 166.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 245.21,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.15,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 214.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 174.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 208.08,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 197.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 216.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABD PARACENTESIS W/IMAGING - 49083 - 45949083",
			"code_information": [
				{
					"code": "49083",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4318.45,
					"discounted_cash": 1160.0,
					"minimum": 89.72,
					"maximum": 5374.08,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1483.32,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $2192",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 2118.0,
							"10th_percentile": 2054.71,
							"90th_percentile": 2192.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 641.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1149.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1741.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1172.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1728.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1664.6,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 96.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1509.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1230.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.09
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1466.7,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.72
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1392.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1529.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 4",
			"code_information": [
				{
					"code": "5434",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17669.85,
					"maximum": 20850.42,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18906.74,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 20850.42,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACTINOTHRPY/ULTRAVIOLET LIGHT",
			"code_information": [
				{
					"code": "96900",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 196.9,
					"minimum": 10.61,
					"maximum": 196.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.67
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.71
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.61
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.61
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.61
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.61
						}
					]
				}
			]
		},
		{
			"description": "ACTH LC",
			"code_information": [
				{
					"code": "82024",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 127.45,
					"discounted_cash": 38.0,
					"minimum": 38.2338,
					"maximum": 127.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.41
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.35,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 127.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 127.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 71.5,
							"10th_percentile": 71.5,
							"90th_percentile": 71.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.52
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.23,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.93,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.01,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.51
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.38
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.94,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.12
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.8,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.88,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABD PARACENTESIS W/O IMG GNDCE",
			"code_information": [
				{
					"code": "49082",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3224.45,
					"discounted_cash": 1160.0,
					"minimum": 58.45,
					"maximum": 3498.95,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1483.32,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 641.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1149.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1741.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1172.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1728.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1664.6,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.54
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1509.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1230.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.75
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1466.7,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.45
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1392.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1529.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 1",
			"code_information": [
				{
					"code": "5641",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 2923.44,
					"maximum": 3449.66,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2923.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3128.08,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2923.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2923.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3449.66,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2923.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2923.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2923.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACU-SINCH KNOTLESS SYST",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ABDOMINAL PAIN - SOI : 3",
			"code_information": [
				{
					"code": "2513",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6680.75,
					"maximum": 7883.28,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6680.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7148.4,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6680.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6680.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7883.28,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6680.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6680.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6680.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 4",
			"code_information": [
				{
					"code": "5644",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14390.43,
					"maximum": 16980.71,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14390.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15397.76,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14390.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14390.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16980.71,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14390.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14390.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14390.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 1",
			"code_information": [
				{
					"code": "1931",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8140.51,
					"maximum": 9605.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8140.51,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8710.35,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8140.51,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8140.51,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9605.8,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8140.51,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8140.51,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8140.51,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 4",
			"code_information": [
				{
					"code": "1934",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18754.23,
					"maximum": 22129.99,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18754.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 20067.03,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18754.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18754.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22129.99,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18754.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18754.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18754.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABLATE ARRHYTHMIA ADD ON",
			"code_information": [
				{
					"code": "93655",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2503.5,
					"minimum": 329.8,
					"maximum": 2503.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 329.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 352.89
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 329.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 329.8
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 478.21
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 329.8
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 329.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 329.8
						}
					]
				}
			]
		},
		{
			"description": "ACETABULAR SHELL RADIAL",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 2",
			"code_information": [
				{
					"code": "1932",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9819.71,
					"maximum": 11587.26,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9819.71,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10507.09,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9819.71,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9819.71,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11587.26,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9819.71,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9819.71,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9819.71,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION",
			"code_information": [
				{
					"code": "880",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9861.0,
					"minimum": 3572.8,
					"maximum": 18223.8672,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14908.77
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9786.65
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9378.1,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9567.56,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 12819.82,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13805.96,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 9861.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18223.87,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14683.62,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 14141.25,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12819.82,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12326.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15778.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 10041.2,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 9861.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12326.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9861.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 13805.96,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15778.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9861.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 8054.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9472.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13072.51,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 15369.86
						}
					]
				}
			]
		},
		{
			"description": "ABLATION ATRIOVENTRICULAR FNCT - 93650 - 45793650",
			"code_information": [
				{
					"code": "93650",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15943.0,
					"discounted_cash": 9982.0,
					"minimum": 1026.61,
					"maximum": 15943.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12755.94,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9882.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14973.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10082.34,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14863.96,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14314.92,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1098.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12977.26,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10581.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1488.58
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12613.06,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11979.01,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13150.46,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Acetaminophen",
			"code_information": [
				{
					"code": "80329",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 197.96,
					"minimum": 1.0,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 124.78
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.81
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 534.72,
							"10th_percentile": 534.72,
							"90th_percentile": 534.72,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.05
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.05
						}
					]
				}
			]
		},
		{
			"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC",
			"code_information": [
				{
					"code": "289",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17289.0,
					"minimum": 9442.88,
					"maximum": 31951.495,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 24521.86
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19002.26
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16433.01,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16764.99,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 22476.7,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24205.68,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 17289.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 31951.49,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25744.47,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 24793.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22476.7,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21612.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27663.63,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17594.94,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 17289.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21612.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17289.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 24205.68,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27663.63,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 22450.86
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17289.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 9442.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16599.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22906.62,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 25280.27
						}
					]
				}
			]
		},
		{
			"description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 2",
			"code_information": [
				{
					"code": "7562",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4969.75,
					"maximum": 5864.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4969.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5317.63,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4969.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4969.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5864.3,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4969.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4969.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4969.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABLATION ATRIOVENTRICULAR FNCT - 93650 - 45993650",
			"code_information": [
				{
					"code": "93650",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15943.0,
					"discounted_cash": 9982.0,
					"minimum": 1026.61,
					"maximum": 15943.0,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14973.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10082.34,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14863.96,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14314.92,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1098.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12977.26,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10581.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1488.58
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12613.06,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11979.01,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13150.46,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12755.94,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9882.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1026.61
						}
					]
				}
			]
		},
		{
			"description": "ACHILLES SPEEDBRIDGE JUMPSTART - C1713 - 278447380",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 1",
			"code_information": [
				{
					"code": "1451",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3855.58,
					"maximum": 4549.58,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3855.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4125.47,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3855.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3855.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4549.58,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3855.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3855.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3855.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 3",
			"code_information": [
				{
					"code": "7563",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7029.52,
					"maximum": 8294.83,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7029.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7521.59,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7029.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7029.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8294.83,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7029.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7029.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7029.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",
			"code_information": [
				{
					"code": "770",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10284.0,
					"minimum": 6400.0,
					"maximum": 19005.2016,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 16734.65
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8980.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9779.65,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9977.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 13369.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 14397.88,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 10284.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19005.2,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15313.17,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 14747.54,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13369.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12855.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16454.72,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 10471.14,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 10284.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12855.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10284.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 14397.88,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16454.72,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 10284.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 10466.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9878.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13632.23,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 17252.21
						}
					]
				}
			]
		},
		{
			"description": "ACOUS ELECTR CARDGRAPHY SINGLE",
			"code_information": [
				{
					"code": "93799",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 408.96,
					"discounted_cash": 164.0,
					"minimum": 108.83,
					"maximum": 408.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.43,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 108.83
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 247.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 166.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 245.21,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.15,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 214.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 174.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 208.08,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 197.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 216.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 4",
			"code_information": [
				{
					"code": "1454",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10920.09,
					"maximum": 12885.71,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10920.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11684.5,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10920.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10920.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12885.71,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10920.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10920.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10920.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE KIDNEY INJURY - SOI : 1",
			"code_information": [
				{
					"code": "4691",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4013.54,
					"maximum": 4735.98,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4013.54,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4294.49,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4013.54,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4013.54,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4735.98,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4013.54,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4013.54,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4013.54,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 3",
			"code_information": [
				{
					"code": "5433",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9671.72,
					"maximum": 11412.63,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9671.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10348.74,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9671.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9671.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11412.63,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9671.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9671.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9671.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACROPLATE 3.5.7 H LT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE HEPATITIS PANEL",
			"code_information": [
				{
					"code": "80074",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 563.0,
					"discounted_cash": 47.0,
					"minimum": 40.0,
					"maximum": 563.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 128.73
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.86,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.9
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.31
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 315.85,
							"10th_percentile": 315.85,
							"90th_percentile": 315.85,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 100.53
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.15,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.45,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.11,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.68,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.3
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.92,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.0
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.68,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.18,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 80.96
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 80.96
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.63,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.16,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.75,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE KIDNEY INJURY - SOI : 2",
			"code_information": [
				{
					"code": "4692",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5463.76,
					"maximum": 6447.24,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5463.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5846.22,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5463.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5463.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6447.24,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5463.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5463.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5463.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 3",
			"code_information": [
				{
					"code": "5643",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6403.11,
					"maximum": 7555.67,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6403.11,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6851.33,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6403.11,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6403.11,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7555.67,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6403.11,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6403.11,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6403.11,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACTH LC 2",
			"code_information": [
				{
					"code": "82024",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 127.45,
					"discounted_cash": 38.0,
					"minimum": 38.2338,
					"maximum": 127.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.41
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.35,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 127.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 127.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 71.5,
							"10th_percentile": 71.5,
							"90th_percentile": 71.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.52
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.23,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.93,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.01,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.51
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.38
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.94,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.12
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.8,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.88,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MAJOR EYE INFECTIONS WITH CCMCC",
			"code_information": [
				{
					"code": "121",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11881.0,
					"minimum": 5920.04,
					"maximum": 26091.532,
					"payers_information": [
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 15446.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16634.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 11881.89,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21957.73,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17692.13,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 17038.63,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15446.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14852.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19011.02,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12095.77,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 11881.89,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14852.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11881.89,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 16634.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19011.02,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 19465.41
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11881.89,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 5920.04
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15747.32,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18650.35
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18090.84
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14479.54
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11296.99,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11411.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11525.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA - SOI : 4",
			"code_information": [
				{
					"code": "6904",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 45078.63,
					"maximum": 53192.78,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45078.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 48234.13,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45078.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45078.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 53192.78,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45078.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45078.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45078.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACCUFILL 5CC ZIMMER",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACTIVBRAID SUT TAPE1.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION - SOI : 1",
			"code_information": [
				{
					"code": "1901",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6639.41,
					"maximum": 7834.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6639.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7104.17,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6639.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6639.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7834.5,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6639.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6639.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6639.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "122",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8126.0,
					"minimum": 3796.28,
					"maximum": 16313.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10549.36
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8823.86
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7730.34,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7886.5,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 10564.35,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11376.99,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 8126.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15017.62,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12100.24,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 11653.29,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10564.35,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10158.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13002.27,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8276.93,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 8126.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10158.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8126.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 11376.99,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13002.27,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 11311.27
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8126.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 3796.28
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7808.42,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 10775.62,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10875.63
						}
					]
				}
			]
		},
		{
			"description": "ACE LC",
			"code_information": [
				{
					"code": "82164",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 80.3,
					"discounted_cash": 14.0,
					"minimum": 14.454,
					"maximum": 80.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.66,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 80.3
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.79
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 45.05,
							"10th_percentile": 45.05,
							"90th_percentile": 45.05,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.9,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.74
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.94
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.98,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.48,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.59
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.82
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.82
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.52,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.23,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 3",
			"code_information": [
				{
					"code": "1933",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13200.37,
					"maximum": 15576.44,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13200.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14124.4,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13200.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13200.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15576.44,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13200.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13200.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13200.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION - SOI : 4",
			"code_information": [
				{
					"code": "1904",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15137.17,
					"maximum": 17861.86,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15137.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16196.77,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15137.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15137.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17861.86,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15137.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15137.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15137.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION - SOI : 2",
			"code_information": [
				{
					"code": "1902",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7316.81,
					"maximum": 8633.84,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7828.99,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8633.84,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACETABULAR LINER G7 32MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 1",
			"code_information": [
				{
					"code": "7561",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3331.89,
					"maximum": 3931.63,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3331.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3565.12,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3331.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3331.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3931.63,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3331.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3331.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3331.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",
			"code_information": [
				{
					"code": "281",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9452.0,
					"minimum": 8353.2512,
					"maximum": 17468.257,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14336.43
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11063.52
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8989.77,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9171.39,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 12288.28,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13233.53,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 9452.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17468.26,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14074.8,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 13554.91,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12288.28,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11815.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15124.03,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9625.41,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 9452.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11815.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9452.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 13233.53,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15124.03,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 13871.31
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9452.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 12593.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9080.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12531.2,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14779.82
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "282",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 7502.0,
					"minimum": 7137.9396,
					"maximum": 39061.376,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11277.22
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8427.56
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7137.94,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7282.14,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10503.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 7502.66,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13864.92,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11171.46,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 10758.81,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9378.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12004.26,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7642.64,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 7502.66,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9378.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7502.66,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 10503.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12004.26,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 10910.17
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7502.66,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 11295.7
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7210.04,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9949.86,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11626.0
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 2",
			"code_information": [
				{
					"code": "1452",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4873.28,
					"maximum": 5750.47,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4873.28,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5214.41,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4873.28,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4873.28,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5750.47,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4873.28,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4873.28,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4873.28,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",
			"code_information": [
				{
					"code": "284",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 7195.0,
					"minimum": 6845.9886,
					"maximum": 13296.8405,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11524.51
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8283.65
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6845.99,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6984.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9353.84,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10073.36,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 7195.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13296.84,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10713.74,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 10318.0,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9353.84,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8994.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11512.42,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7330.05,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 7195.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8994.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7195.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 10073.36,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11512.42,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 11238.34
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7195.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 10085.4
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6915.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9542.89,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11880.94
						}
					]
				}
			]
		},
		{
			"description": "Acetone or Ketone Serum Qual",
			"code_information": [
				{
					"code": "82009",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 44.71,
					"discounted_cash": 4.0,
					"minimum": 4.31,
					"maximum": 44.71,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.23
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.78,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.07
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.42
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.54
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.47,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.31
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.78,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.73
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.88,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.31
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.31
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.79,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.25
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.31
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.71,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.31
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.68
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.68
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.31
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.42,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE KIDNEY INJURY - SOI : 3",
			"code_information": [
				{
					"code": "4693",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8886.82,
					"maximum": 10486.45,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8886.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9508.9,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8886.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8886.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10486.45,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8886.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8886.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8886.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC",
			"code_information": [
				{
					"code": "285",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 6267.0,
					"minimum": 5850.0,
					"maximum": 43636.416,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 8731.26
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 5913.79
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 5964.48,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6084.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 8147.22,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 8773.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 6267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11581.58,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9331.7,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 8987.01,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 8147.22,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7833.86,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10027.34,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6386.21,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 6267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7833.86,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 8773.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10027.34,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 7424.87
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 7641.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6024.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8314.13,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 9001.29
						}
					]
				}
			]
		},
		{
			"description": "ACHILLES TENDON",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE KIDNEY INJURY - SOI : 4",
			"code_information": [
				{
					"code": "4694",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17070.79,
					"maximum": 20143.53,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17070.79,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18265.75,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17070.79,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17070.79,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 20143.53,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17070.79,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17070.79,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17070.79,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADENOSINE - 63323065102",
			"drug_information": {
				"unit": 2.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "63323065102",
					"type": "NDC"
				},
				{
					"code": "J0153",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 597.45,
							"10th_percentile": 597.45,
							"90th_percentile": 1194.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ADAPTER REVERSED 135/145",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACHR BLOCKING ANTIBODY",
			"code_information": [
				{
					"code": "86042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 30.0,
					"discounted_cash": 18.0,
					"minimum": 9.0,
					"maximum": 30.0,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.42
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.22,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.6,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.58,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.76,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.4
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.69
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.92,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.68
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.76,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.25,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.08,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.24,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.51,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.95
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA - SOI : 2",
			"code_information": [
				{
					"code": "6902",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15211.37,
					"maximum": 17949.42,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15211.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16276.17,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15211.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15211.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17949.42,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15211.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15211.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15211.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 3",
			"code_information": [
				{
					"code": "7553",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5442.55,
					"maximum": 6422.21,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5442.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5823.53,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5442.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5442.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6422.21,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5442.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5442.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5442.55,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADAPTER SWIVEL",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 3.0,
							"10th_percentile": 3.0,
							"90th_percentile": 3.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ACID FAST CULT FOCUS 2",
			"code_information": [
				{
					"code": "87015",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 107.0,
					"discounted_cash": 6.0,
					"minimum": 3.3,
					"maximum": 107.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.92
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.05
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.95
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.35
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA - SOI : 3",
			"code_information": [
				{
					"code": "6903",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25746.65,
					"maximum": 30381.05,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25746.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27548.92,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25746.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25746.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 30381.05,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25746.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25746.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25746.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN ECG CONTRAST AGENT - C8928 - 45993352",
			"code_information": [
				{
					"code": "C8928",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 324.45,
					"discounted_cash": 1003.0,
					"minimum": 97.335,
					"maximum": 324.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN ECG CONTRAST AGENT - 93352 - 45993552",
			"code_information": [
				{
					"code": "93352",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 324.45,
					"minimum": 34.77,
					"maximum": 324.45,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 200.49
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.41
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.42
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						}
					]
				}
			]
		},
		{
			"description": "ACID FAST CULT LC 8",
			"code_information": [
				{
					"code": "87015",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 11.0,
					"discounted_cash": 6.0,
					"minimum": 3.3,
					"maximum": 107.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.95
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "835",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21059.0,
					"minimum": 14087.664,
					"maximum": 38917.3462,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 33218.9
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23164.07
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20012.95,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20417.25,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 27376.92,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 29482.84,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 21059.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 38917.35,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 31357.1,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 30198.85,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27376.92,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26323.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33694.67,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21428.01,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 21059.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26323.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21059.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 29482.84,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33694.67,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21059.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 24744.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20215.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27896.84,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 34246.29
						}
					]
				}
			]
		},
		{
			"description": "ADRENAL AND PITUITARY PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "614",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 22113.0,
					"minimum": 12150.0,
					"maximum": 40866.0991,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 35444.48
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27790.72
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21014.43,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21438.97,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 28747.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30959.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 22113.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 40866.1,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32927.28,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 31711.03,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28747.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27642.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 35381.9,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22500.3,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 22113.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27642.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 22113.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 30959.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 35381.9,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 34220.96
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22113.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 33336.4
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21226.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 29292.85,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 36540.7
						}
					]
				}
			]
		},
		{
			"description": "ADRENAL PROCEDURES - SOI : 3",
			"code_information": [
				{
					"code": "4013",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 24086.53,
					"maximum": 28422.11,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24086.53,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24086.53,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24086.53,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25772.59,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24086.53,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24086.53,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 28422.11,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24086.53,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACID PHOS TOTAL ENZYMATIC LC 2",
			"code_information": [
				{
					"code": "84060",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 72.24,
					"discounted_cash": 7.0,
					"minimum": 7.53,
					"maximum": 72.24,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.96
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.98
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.3
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.59
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.56,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.46,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.72,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.7,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.96
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.06
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.93,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.55,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.55,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.7,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.65,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.55
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.55
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.17,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.06,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "834",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 54924.0,
					"minimum": 24095.1616,
					"maximum": 111664.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 85964.14
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 66727.19
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52175.38,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53229.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 71401.3,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 76893.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 54924.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 101499.7,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 81781.96,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 78761.13,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 71401.3,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 68655.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 87878.53,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 55864.54,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 54924.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 68655.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 54924.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 76893.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 87878.53,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 54924.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 111664.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52702.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 72729.31,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 88622.83
						}
					]
				}
			]
		},
		{
			"description": "ADRENAL PROCEDURES - SOI : 1",
			"code_information": [
				{
					"code": "4011",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10090.03,
					"maximum": 11906.24,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10090.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10796.33,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10090.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10090.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11906.24,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10090.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10090.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10090.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADRENAL PROCEDURES - SOI : 4",
			"code_information": [
				{
					"code": "4014",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 45294.89,
					"maximum": 53447.97,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45294.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 48465.53,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45294.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45294.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 53447.97,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45294.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45294.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45294.89,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACOUS ELECTR CARD MULTI AV+VV",
			"code_information": [
				{
					"code": "93799",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 408.96,
					"discounted_cash": 164.0,
					"minimum": 108.83,
					"maximum": 408.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.43,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 108.83
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 247.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 166.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 245.21,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.15,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 214.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 174.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 208.08,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 197.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 216.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "836",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12440.0,
					"minimum": 10800.0,
					"maximum": 94740.796,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 19762.75
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15048.31
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11828.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12066.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 16173.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17417.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 12440.99,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22990.95,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18524.63,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 17840.38,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16173.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15551.24,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19905.58,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12664.35,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 12440.99,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15551.24,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12440.99,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 17417.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19905.58,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12440.99,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 17295.4
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16487.55,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 20373.97
						}
					]
				}
			]
		},
		{
			"description": "ADRENAL PROCEDURES - SOI : 2",
			"code_information": [
				{
					"code": "4012",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13076.33,
					"maximum": 15430.07,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13076.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13991.67,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13076.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13076.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15430.07,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13076.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13076.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13076.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AFTERCARE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "950",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 6553.0,
					"minimum": 6236.5842,
					"maximum": 24148.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 9115.41
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8461.82
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6236.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6362.58,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 8519.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9175.04,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 6553.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12111.05,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9758.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 9397.86,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 8519.68,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8192.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10485.76,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6677.55,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 6553.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8192.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6553.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 9175.04,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10485.76,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6553.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 24148.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6299.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8693.42,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 9397.33
						}
					]
				}
			]
		},
		{
			"description": "ADENOSINE - 00703877701",
			"drug_information": {
				"unit": 30.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00703877701",
					"type": "NDC"
				},
				{
					"code": "J0153",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 597.45,
							"10th_percentile": 597.45,
							"90th_percentile": 1194.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ADVNC LOCK SCRW 5X70MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "561",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8306.0,
					"minimum": 7901.3484,
					"maximum": 28097.056,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 12715.84
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8536.06
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7901.35,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8060.97,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 10798.42,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11629.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 8306.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15350.38,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12368.35,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 11911.49,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10798.42,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10383.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13290.37,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8460.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 8306.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10383.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8306.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 11629.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13290.37,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 11853.66
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8306.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 12250.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7981.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11014.0,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 13109.12
						}
					]
				}
			]
		},
		{
			"description": "ACTIVATED COAGULATION TIME",
			"code_information": [
				{
					"code": "85347",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 181.0,
					"discounted_cash": 4.0,
					"minimum": 4.19,
					"maximum": 181.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.5
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.47,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.97
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.98
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.32,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.99,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.37
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.48
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.56,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.54,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.08
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.99,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.41,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.14,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADHESIVE TOPICAL SKIN",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 0.66,
							"10th_percentile": 0.66,
							"90th_percentile": 0.66,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AGGLUTININS FEBRILE EA AG LC 4",
			"code_information": [
				{
					"code": "86000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15.72,
					"discounted_cash": 6.0,
					"minimum": 4.716,
					"maximum": 17.18,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.5
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.74
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.91,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.47,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.05,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.4,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.82,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.87
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.87
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.38,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALBUMIN",
			"code_information": [
				{
					"code": "82040",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 80.33,
					"discounted_cash": 4.0,
					"minimum": 4.61,
					"maximum": 80.33,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.38
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.33,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.84
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.75
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 45.07,
							"10th_percentile": 45.07,
							"90th_percentile": 45.08,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.44
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.43,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.37
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.1
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.93
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.44,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.19,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.25,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.19,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.68
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.25,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.41
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.41
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.94,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.52,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC",
			"code_information": [
				{
					"code": "288",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 27231.0,
					"minimum": 19718.1088,
					"maximum": 50323.0358,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 39049.37,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 35400.4,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 34038.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 43569.73,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27704.05,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 27231.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 34038.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27231.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 38123.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 43569.73,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 39395.73
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27231.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 36663.1
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 36067.54,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 43795.93
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 42482.05
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30350.17
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25874.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26397.26,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 35400.4,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 38123.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26135.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 27231.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 50323.04,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 40547.08,
							"additional_payer_notes": "148.90% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 1",
			"code_information": [
				{
					"code": "7551",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 2180.63,
					"maximum": 2573.14,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2180.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2333.27,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2180.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2180.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2573.14,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2180.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2180.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2180.63,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "290",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9557.0,
					"minimum": 9089.9325,
					"maximum": 25316.536,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 15226.04
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11427.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9089.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9273.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 12425.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13381.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 9557.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17663.15,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14231.83,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 13706.14,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12425.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15292.77,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9732.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 9557.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11947.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9557.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 13381.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15292.77,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 16486.04
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9557.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 13325.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9181.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12670.82,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 15696.95
						}
					]
				}
			]
		},
		{
			"description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 4",
			"code_information": [
				{
					"code": "7554",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8638.75,
					"maximum": 10193.73,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8638.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9243.46,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8638.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8638.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10193.73,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8638.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8638.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8638.75,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AICD GENERATOR PROCEDURES",
			"code_information": [
				{
					"code": "245",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 45697.0,
					"minimum": 19350.0,
					"maximum": 84448.1669,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 76002.67
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 59478.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43412.29,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 44289.31,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 59406.18,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 63975.88,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 45697.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 84448.17,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 68042.92,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 65529.58,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 59406.18,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 57121.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 73115.3,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 46481.85,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 45697.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 57121.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 45697.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 63975.88,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 73115.3,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 68846.06
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 45697.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 66512.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43850.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 60514.1,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 78353.27
						}
					]
				}
			]
		},
		{
			"description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 4",
			"code_information": [
				{
					"code": "7564",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10975.22,
					"maximum": 12950.76,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10975.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11743.49,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10975.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10975.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12950.76,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10975.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10975.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10975.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN ECG CONTRAST AGENT - C8928 - 45993552",
			"code_information": [
				{
					"code": "C8928",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 324.45,
					"discounted_cash": 1003.0,
					"minimum": 97.335,
					"maximum": 324.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 1",
			"code_information": [
				{
					"code": "7751",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3288.43,
					"maximum": 3880.35,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3288.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3518.62,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3288.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3288.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3880.35,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3288.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3288.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3288.43,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 3",
			"code_information": [
				{
					"code": "1453",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6782.52,
					"maximum": 8003.37,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6782.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7257.3,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6782.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6782.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8003.37,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6782.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6782.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6782.52,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN INFLUENZA VACCINE",
			"code_information": [
				{
					"code": "G0008",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 173.9,
					"discounted_cash": 59.0,
					"minimum": 24.42,
					"maximum": 174.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.57,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.07
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.42
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.29
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.32,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.88,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.52,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.22,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 85.93,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.9,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.52,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.71,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.9,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 1",
			"code_information": [
				{
					"code": "7721",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3856.64,
					"maximum": 4550.84,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3856.64,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4126.6,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3856.64,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3856.64,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4550.84,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3856.64,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3856.64,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3856.64,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALDOLASE LC",
			"code_information": [
				{
					"code": "82085",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 32.04,
					"discounted_cash": 9.0,
					"minimum": 9.612,
					"maximum": 32.04,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.24
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.41,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.81,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.59
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.62,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.29,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.36
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.27,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.65,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.79,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE LEUKEMIA - SOI : 1",
			"code_information": [
				{
					"code": "6901",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8594.23,
					"maximum": 10141.19,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8594.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9195.83,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8594.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8594.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10141.19,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8594.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8594.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8594.23,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN PNEUMOCOCCAL VACCINE",
			"code_information": [
				{
					"code": "G0009",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 264.47,
					"discounted_cash": 59.0,
					"minimum": 24.42,
					"maximum": 264.47,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.29
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.32,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.88,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.52,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.22,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 85.93,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.9,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.52,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.71,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.9,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.57,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.07
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.42
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 3",
			"code_information": [
				{
					"code": "7753",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8305.88,
					"maximum": 9800.94,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8305.88,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8887.29,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8305.88,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8305.88,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9800.94,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8305.88,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8305.88,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8305.88,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS ISOENZ LC 2",
			"code_information": [
				{
					"code": "84080",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48.77,
					"discounted_cash": 14.0,
					"minimum": 14.631,
					"maximum": 48.77,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.63,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.17,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.67,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.67,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.74,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.47,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION - SOI : 3",
			"code_information": [
				{
					"code": "1903",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9493.2,
					"maximum": 11201.98,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9493.2,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10157.72,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9493.2,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9493.2,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11201.98,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9493.2,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9493.2,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9493.2,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AEROSOL TREATMENT",
			"code_information": [
				{
					"code": "94640",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1165.83,
					"discounted_cash": 280.0,
					"minimum": 16.78,
					"maximum": 1165.83,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 466.33,
							"10th_percentile": 324.16,
							"90th_percentile": 466.33,
							"count": "12"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.12,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.68
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.85
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 654.03,
							"10th_percentile": 641.84,
							"90th_percentile": 654.04,
							"count": "26"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.45
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 277.46,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.78
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 420.39,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 283.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.36,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 602.26,
							"10th_percentile": 602.26,
							"90th_percentile": 619.06,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 417.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 401.89,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.95
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 364.34,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 350.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.78
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.78
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 297.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 350.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.33
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.78
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.36,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 354.11,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.78
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 64.05,
							"median_amount": 534.16,
							"10th_percentile": 250.28,
							"90th_percentile": 763.97,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.78
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 336.31,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 369.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 4",
			"code_information": [
				{
					"code": "7754",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19303.36,
					"maximum": 22777.96,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19303.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 20654.6,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19303.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19303.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22777.96,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19303.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19303.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19303.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS LC 2",
			"code_information": [
				{
					"code": "84075",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 17.09,
					"discounted_cash": 5.0,
					"minimum": 4.74,
					"maximum": 94.88,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.99
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 53.23,
							"10th_percentile": 53.23,
							"90th_percentile": 53.23,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",
			"code_information": [
				{
					"code": "280",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16267.0,
					"minimum": 10617.4432,
					"maximum": 30061.5823,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 25528.11
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18626.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.72,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15774.08,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 21147.22,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22773.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 16267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30061.58,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 24221.7,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 23327.01,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21147.22,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20333.86,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26027.34,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16554.97,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 16267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20333.86,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 22773.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26027.34,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 24103.87
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16267.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 18679.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15617.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21552.7,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 26317.64
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",
			"code_information": [
				{
					"code": "894",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 6446.0,
					"minimum": 4452.0,
					"maximum": 11912.5037,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 9706.41
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6628.75
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6134.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6258.48,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 8380.01,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9024.62,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 6446.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11912.5,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9598.33,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 9243.79,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 8380.01,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8057.7,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10313.86,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6568.3,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 6446.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8057.7,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6446.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 9024.62,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10313.86,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6446.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 4730.64
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6196.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8551.18,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10006.6
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS LIVER LC",
			"code_information": [
				{
					"code": "84075",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 17.09,
					"discounted_cash": 5.0,
					"minimum": 4.74,
					"maximum": 94.88,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.99
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 53.23,
							"10th_percentile": 53.23,
							"90th_percentile": 53.23,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",
			"code_information": [
				{
					"code": "283",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20014.0,
					"minimum": 7996.2944,
					"maximum": 36986.9808,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 30411.64
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20554.37
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19020.87,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19405.13,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 26018.98,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28020.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 20014.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 36986.98,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 29801.74,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 28700.94,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26018.98,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25018.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32023.36,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20365.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 20014.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25018.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20014.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 28020.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32023.36,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 29951.7
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20014.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 34672.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19213.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26513.94,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 31352.21
						}
					]
				}
			]
		},
		{
			"description": "AFTERCARE WITH CCMCC",
			"code_information": [
				{
					"code": "949",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12144.0,
					"minimum": 7251.1904,
					"maximum": 30247.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 16781.31
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12436.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11546.47,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11779.73,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 15787.89,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17002.34,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 12144.53,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22443.09,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18083.21,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 17415.26,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15787.89,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15180.66,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19431.25,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12362.89,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 12144.53,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15180.66,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12144.53,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 17002.34,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19431.25,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12144.53,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 30247.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11663.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16095.08,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 17300.31
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOLIC LIVER DISEASE - SOI : 3",
			"code_information": [
				{
					"code": "2803",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9753.98,
					"maximum": 11509.7,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.98,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10436.76,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.98,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.98,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11509.7,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.98,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.98,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9753.98,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "Allergen specific IgE;ea qn LC",
			"code_information": [
				{
					"code": "86003",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 97.8,
					"discounted_cash": 5.0,
					"minimum": 5.1678,
					"maximum": 116.0,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.77
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.49
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.69
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.79,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.53,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.31,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.6,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.87
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.87
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.26,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.88,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.67,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 97.8
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 85.33
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 77.46,
							"10th_percentile": 54.87,
							"90th_percentile": 2084.91,
							"count": "14"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.01
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.17,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.83,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.31,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADDITIONAL IMMUNOHISTOCHEMISRT - 88341 - 45288341",
			"code_information": [
				{
					"code": "88341",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 330.42,
					"minimum": 41.83,
					"maximum": 330.42,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 94.92
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 285.43
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 239.75
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.76
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.65
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.56
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.56
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						}
					]
				}
			]
		},
		{
			"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",
			"code_information": [
				{
					"code": "560",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11511.0,
					"minimum": 9286.6528,
					"maximum": 22355.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 17709.8
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11917.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 10945.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11166.66,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 14965.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16116.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 11511.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21273.84,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17141.1,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 16507.95,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 14965.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14389.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18418.91,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11719.47,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 11511.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14389.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11511.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 16116.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18418.91,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 17200.12
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11511.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 19124.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11056.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15257.42,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18257.52
						}
					]
				}
			]
		},
		{
			"description": "ALDOLASE LC 1",
			"code_information": [
				{
					"code": "82085",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 32.04,
					"discounted_cash": 9.0,
					"minimum": 9.612,
					"maximum": 32.04,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.24
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.41,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.81,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.59
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.62,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.29,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.36
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.27,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.65,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.79,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOFIBER DBF 1CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ADDITIONAL IMMUNOHISTOCHEMISRT - 88341 - 88341",
			"code_information": [
				{
					"code": "88341",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 330.42,
					"minimum": 41.83,
					"maximum": 330.42,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 94.92
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 285.43
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 239.75
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.76
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.65
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.56
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.56
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						}
					]
				}
			]
		},
		{
			"description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",
			"code_information": [
				{
					"code": "559",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18861.0,
					"minimum": 13008.7072,
					"maximum": 34856.2368,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 28870.38
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20578.36
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17925.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18287.97,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 24520.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26406.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 18861.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34856.24,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28084.92,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 27047.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24520.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23577.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30178.56,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19193.31,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 18861.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23577.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18861.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 26406.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30178.56,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 28114.85
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18861.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 25265.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18106.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24987.52,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 29763.28
						}
					]
				}
			]
		},
		{
			"description": "ALDOSTERONE LC 3",
			"code_information": [
				{
					"code": "82088",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 134.48,
					"discounted_cash": 40.0,
					"minimum": 40.3425,
					"maximum": 224.13,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 110.18
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 134.48
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 134.48
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.0
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.34,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.56
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.13,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.16,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.05,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.68
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.44
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.98,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.56
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.56
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.2,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.56
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.05,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.49,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.56
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 69.26
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 69.26
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.56
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.9,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.68,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 1",
			"code_information": [
				{
					"code": "0071",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 55309.66,
					"maximum": 65265.4,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 55309.66,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 59181.34,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 55309.66,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 55309.66,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65265.4,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 55309.66,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 55309.66,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 55309.66,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADENOVIRUS AB LC 4",
			"code_information": [
				{
					"code": "86603",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 125.86,
					"discounted_cash": 12.0,
					"minimum": 12.7413,
					"maximum": 125.86,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.78
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 82.72
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 69.49
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.16
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.74,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.31,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.02,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.16
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.09,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.64,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.09,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.04
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.02,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.26,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.44,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AGENT DETECTION-RESP SYNCYTIAL",
			"code_information": [
				{
					"code": "87807",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 65.35,
					"discounted_cash": 13.0,
					"minimum": 6.86,
					"maximum": 65.35,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 36.67,
							"10th_percentile": 36.66,
							"90th_percentile": 51.76,
							"count": "13"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.59
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.65,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.34,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.51
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.79
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.38,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.89,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.38,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.95
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.34,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.39
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.39
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.26,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.11
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS",
			"code_information": [
				{
					"code": "84075",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 94.88,
					"discounted_cash": 5.0,
					"minimum": 4.74,
					"maximum": 94.88,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.99
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.23
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.91
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 53.23,
							"10th_percentile": 53.23,
							"90th_percentile": 53.23,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGRAFT 5CC DBM SURGX PUTTY",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 2",
			"code_information": [
				{
					"code": "7552",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 2936.48,
					"maximum": 3465.05,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2936.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3142.03,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2936.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2936.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3465.05,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2936.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2936.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2936.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLERGEN,MULTIPLE INHALANT LC",
			"code_information": [
				{
					"code": "86005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14.45,
					"discounted_cash": 7.0,
					"minimum": 4.335,
					"maximum": 14.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.29
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.89,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.96,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.05,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.87
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.45,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.07,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.55
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.55
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.56,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.5,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN ECG CONTRAST AGENT - 93352 - 45993352",
			"code_information": [
				{
					"code": "93352",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 324.45,
					"minimum": 34.77,
					"maximum": 324.45,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 200.49
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.41
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.42
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.77
						}
					]
				}
			]
		},
		{
			"description": "AICD LEAD PROCEDURES",
			"code_information": [
				{
					"code": "265",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 36303.0,
					"minimum": 18450.0,
					"maximum": 120852.048,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 55479.4
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35648.37
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34491.3,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35188.1,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 47195.07,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 50825.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 36303.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 67089.61,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 54056.51,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 52059.79,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 47195.07,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 45379.88,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 58086.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 36930.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 36303.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 45379.88,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 36303.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 50825.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 58086.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 53693.97
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 36303.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 48552.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34839.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 48078.79,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 57195.26
						}
					]
				}
			]
		},
		{
			"description": "ALLERGIC REACTIONS - SOI : 2",
			"code_information": [
				{
					"code": "8112",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4082.45,
					"maximum": 4817.29,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4082.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4368.22,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4082.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4082.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4817.29,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4082.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4082.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4082.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC DBM PUTTY 5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ADMIN OF HEPATITIS B VACCINE",
			"code_information": [
				{
					"code": "G0010",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 173.9,
					"discounted_cash": 59.0,
					"minimum": 10.58,
					"maximum": 173.9,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.57,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.59
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.32,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.88,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.52,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 89.22,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 85.93,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.9,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.52,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.71,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.9,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALBUMIN UR OR OTH SRC QN LC 6",
			"code_information": [
				{
					"code": "82042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 42.79,
					"discounted_cash": 7.0,
					"minimum": 3.25,
					"maximum": 42.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.86
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.94,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.23
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.91
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.67,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.86,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.48
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.11,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.25,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.71
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.83,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.25,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLERGIC REACTIONS WITH MCC",
			"code_information": [
				{
					"code": "915",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17038.0,
					"minimum": 7697.0976,
					"maximum": 31486.3718,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 27028.94
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19405.42
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16194.02,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16521.18,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 22149.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 23853.31,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 17038.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 31486.37,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25369.7,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 24432.61,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22149.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21297.6,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27260.93,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17339.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 17038.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21297.6,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17038.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 23853.31,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27260.93,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17038.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 18880.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16357.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22573.49,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 27864.89
						}
					]
				}
			]
		},
		{
			"description": "ALPHA FETOPROTEIN SER LC 3",
			"code_information": [
				{
					"code": "82105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 55.34,
					"discounted_cash": 16.0,
					"minimum": 16.602,
					"maximum": 92.24,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.36
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.43,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 51.75,
							"10th_percentile": 3.22,
							"90th_percentile": 51.75,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.4
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.16,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.94,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.19,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.51
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.51
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.34
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.12,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.09,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "615",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14229.0,
					"minimum": 6750.0,
					"maximum": 68771.528,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 22286.94
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16949.91
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13526.77,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13800.03,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 18498.58,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19921.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 14229.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26296.45,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21187.99,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 20405.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18498.58,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17787.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22767.49,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14483.2,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 14229.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17787.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14229.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 19921.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22767.49,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 22350.58
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14229.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 20216.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13663.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18855.49,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 22976.23
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 4",
			"code_information": [
				{
					"code": "7724",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18947.17,
					"maximum": 22357.66,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18947.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 20273.47,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18947.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18947.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22357.66,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18947.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18947.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18947.17,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLERGIC REACTIONS WITHOUT MCC",
			"code_information": [
				{
					"code": "916",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 6937.0,
					"minimum": 5416.08,
					"maximum": 30928.848,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7231.78
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6601.28,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6734.64,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9018.88,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9712.64,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 6937.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12820.68,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10330.09,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 9948.52,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9018.88,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8672.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11100.16,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7068.04,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 6937.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8672.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6937.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 9712.64,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11100.16,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6937.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 5416.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9201.78,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10647.95
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10328.51
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6667.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS - SOI : 1",
			"code_information": [
				{
					"code": "0521",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4892.36,
					"maximum": 5772.98,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4892.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5234.83,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4892.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4892.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5772.98,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4892.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4892.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4892.36,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "Adrenal, Bilateral",
			"code_information": [
				{
					"code": "75733",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15735.2,
					"discounted_cash": 4041.0,
					"minimum": 148.76,
					"maximum": 15735.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 421.11
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2316.81
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1946.1
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 159.17
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 2",
			"code_information": [
				{
					"code": "7752",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4746.07,
					"maximum": 5600.36,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4746.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5078.29,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4746.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4746.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5600.36,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4746.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4746.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4746.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "014",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 119866.0,
					"minimum": 113852.97,
					"maximum": 221513.0702,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 203767.66
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 145672.57
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 113852.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 116153.03,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 155826.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 167812.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 119866.38,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 221513.07,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 178481.04,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 171888.39,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 155826.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 149832.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 191786.21,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 121903.18,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 119866.38,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 149832.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 119866.38,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 167812.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 191786.21,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 174126.71
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 119866.38,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 144020.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 115003.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 158704.14,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 210069.75
						}
					]
				}
			]
		},
		{
			"description": "AMIO & NORAMIO LC",
			"code_information": [
				{
					"code": "82542",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 79.5,
					"discounted_cash": 24.0,
					"minimum": 12.0,
					"maximum": 176.61,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.82
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.78,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 79.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 79.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 74.34,
							"10th_percentile": 74.34,
							"90th_percentile": 74.34,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.1
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.85,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.73,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.87
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.55
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.54,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.53
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.73,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.68
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.68
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.91,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.73,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Adrenal, Unilateral Lt",
			"code_information": [
				{
					"code": "75731",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15735.2,
					"discounted_cash": 4041.0,
					"minimum": 136.04,
					"maximum": 15735.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 367.63
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2304.13
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1935.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 145.56
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 197.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOLIC LIVER DISEASE - SOI : 2",
			"code_information": [
				{
					"code": "2802",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6415.73,
					"maximum": 7570.56,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6415.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6864.83,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6415.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6415.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7570.56,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6415.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6415.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6415.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 4",
			"code_information": [
				{
					"code": "0074",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 149835.59,
					"maximum": 176806.0,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 149835.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 160324.08,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 149835.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 149835.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 176806.0,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 149835.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 149835.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 149835.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMMONIA",
			"code_information": [
				{
					"code": "82140",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 290.25,
					"discounted_cash": 14.0,
					"minimum": 14.4243,
					"maximum": 290.25,
					"payers_information": [
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.86
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.77
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.77
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.86
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.39
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 93.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.68
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.75
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.42,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.86
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.86,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.72,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.4,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.69
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.89
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.94,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.86
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.86
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.44,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.55
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.86
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.4,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.41,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.57,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Adrenal, Unilateral Rt",
			"code_information": [
				{
					"code": "75731",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15735.2,
					"discounted_cash": 4041.0,
					"minimum": 136.04,
					"maximum": 15735.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 367.63
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2304.13
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1935.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 145.56
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 197.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 136.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS ISOENZ LC 3",
			"code_information": [
				{
					"code": "84080",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48.77,
					"discounted_cash": 14.0,
					"minimum": 14.631,
					"maximum": 48.77,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.63,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.17,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.67,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.67,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.74,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.47,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC CB DBM PUTTY 10CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC",
			"code_information": [
				{
					"code": "240",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28666.0,
					"minimum": 15992.5888,
					"maximum": 52975.8953,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 45292.42
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 31521.96
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27237.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27788.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 37266.59,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 40133.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 28666.61,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 52975.9,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 42684.58,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 41107.92,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 37266.59,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35833.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 45866.58,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 29163.89,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 28666.61,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35833.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28666.61,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 40133.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 45866.58,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 42680.48
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 28666.61,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 25553.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27513.1,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 37968.08,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 46693.21
						}
					]
				}
			]
		},
		{
			"description": "AEROCHAMBER",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 3.0,
							"10th_percentile": 3.0,
							"90th_percentile": 3.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS LC 1",
			"code_information": [
				{
					"code": "84075",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 17.09,
					"discounted_cash": 5.0,
					"minimum": 4.74,
					"maximum": 94.88,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.99
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 53.23,
							"10th_percentile": 53.23,
							"90th_percentile": 53.23,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC DBM CORT FIBERS 2.5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC",
			"code_information": [
				{
					"code": "475",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 22948.0,
					"minimum": 21807.126,
					"maximum": 44876.804,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 33551.72
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23995.52
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21807.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22247.67,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 29832.86,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32127.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 22948.35,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 42408.55,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 34170.09,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 32907.93,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 29832.86,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28685.44,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 36717.36,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23349.04,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 22948.35,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28685.44,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 22948.35,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 32127.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 36717.36,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 32584.66
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22948.35,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 25638.4
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22027.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 30397.81,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 34589.41
						}
					]
				}
			]
		},
		{
			"description": "AFP TUMOR MARKR LC",
			"code_information": [
				{
					"code": "82105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 92.24,
					"discounted_cash": 16.0,
					"minimum": 16.602,
					"maximum": 92.24,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.51
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.51
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.12,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.09,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.36
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.43,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 90.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 51.75,
							"10th_percentile": 3.22,
							"90th_percentile": 51.75,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.4
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.16,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.94,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.96,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.19,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.24
						}
					]
				}
			]
		},
		{
			"description": "ALLERGIC REACTIONS - SOI : 4",
			"code_information": [
				{
					"code": "8114",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15162.61,
					"maximum": 17891.88,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15162.61,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16223.99,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15162.61,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15162.61,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17891.88,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15162.61,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15162.61,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15162.61,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "476",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12050.0,
					"minimum": 10550.1,
					"maximum": 23273.544,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18089.28
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 13302.04
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11456.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11688.12,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 15665.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16870.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 12050.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22268.44,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17942.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 17279.73,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15665.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15062.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19280.03,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12266.74,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 12050.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15062.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12050.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 16870.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19280.03,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 17880.77
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12050.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 10550.1
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11572.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15969.91,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18648.75
						}
					]
				}
			]
		},
		{
			"description": "AGGLUTININS FEBRILE EA AG LC 5",
			"code_information": [
				{
					"code": "86000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 17.18,
					"discounted_cash": 6.0,
					"minimum": 4.716,
					"maximum": 17.18,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.5
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.74
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.91,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.47,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.05,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.4,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.82,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.87
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.87
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.1
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.38,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOFUSE DBM 5CC PUTTY",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC PURE 5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 3",
			"code_information": [
				{
					"code": "3053",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18500.87,
					"maximum": 21831.03,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18500.87,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19795.93,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18500.87,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18500.87,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21831.03,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18500.87,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18500.87,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18500.87,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOFUSE PLUS DBM PUTTY 10CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALPHA-1 ANTITRYPSIN TOT LC 1",
			"code_information": [
				{
					"code": "82103",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 44.35,
					"discounted_cash": 13.0,
					"minimum": 13.305,
					"maximum": 44.35,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.32
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.17,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 24.89,
							"10th_percentile": 24.89,
							"90th_percentile": 24.89,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.35
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.16,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.82,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.47,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.25,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.82,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.98,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.7
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.13,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.71,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "616",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 35002.0,
					"minimum": 21605.7056,
					"maximum": 64684.9342,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 60110.98
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 45693.14
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33255.49,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33927.31,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 45503.47,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 49003.74,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 35002.67,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 64684.93,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 52118.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 50193.83,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 45503.47,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 43753.34,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 56004.27,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35606.88,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 35002.67,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 43753.34,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35002.67,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 49003.74,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 56004.27,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 60129.77
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35002.67,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 30106.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33591.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 46356.13,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 61970.08
						}
					]
				}
			]
		},
		{
			"description": "ALBUMIN URINE OR OTHER SRC QN",
			"code_information": [
				{
					"code": "82042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 31.99,
					"discounted_cash": 7.0,
					"minimum": 3.25,
					"maximum": 42.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.86
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.94,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.99
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.91
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.67,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.86,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.48
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.11,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.25,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.71
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.83,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.25
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.25,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 2",
			"code_information": [
				{
					"code": "0072",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 66446.01,
					"maximum": 78406.29,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 66446.01,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 71097.23,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 66446.01,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 66446.01,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 78406.29,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 66446.01,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 66446.01,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 66446.01,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALPHAVENT S-P KLESS ANCHR 4.75",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Amputation of toe",
			"code_information": [
				{
					"code": "28820",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3639.0,
					"discounted_cash": 4187.0,
					"minimum": 327.36,
					"maximum": 3639.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2573.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.36
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 350.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.36
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.36
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 474.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.36
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.36
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.36
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 2",
			"code_information": [
				{
					"code": "7722",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4532.99,
					"maximum": 5348.93,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4532.99,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4850.3,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4532.99,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4532.99,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5348.93,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4532.99,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4532.99,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4532.99,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS - SOI : 3",
			"code_information": [
				{
					"code": "0523",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9100.96,
					"maximum": 10739.13,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9100.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9738.03,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9100.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9100.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10739.13,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9100.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9100.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9100.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMYLASE LC 1",
			"code_information": [
				{
					"code": "82150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 21.38,
					"discounted_cash": 6.0,
					"minimum": 6.414,
					"maximum": 246.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.52
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.28,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.38
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.38
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 138.01,
							"10th_percentile": 138.01,
							"90th_percentile": 138.01,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.42,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.72,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.54,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.65
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.29
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.04
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.42,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.54
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.19,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 3",
			"code_information": [
				{
					"code": "7723",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6860.97,
					"maximum": 8095.94,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6860.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7341.24,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6860.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6860.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8095.94,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6860.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6860.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6860.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS - SOI : 4",
			"code_information": [
				{
					"code": "0524",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15262.26,
					"maximum": 18009.47,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15262.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16330.62,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15262.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15262.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18009.47,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15262.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15262.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15262.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANAEROBIC CULT",
			"code_information": [
				{
					"code": "87075",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 381.0,
					"discounted_cash": 9.0,
					"minimum": 9.3753,
					"maximum": 381.0,
					"payers_information": [
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.04,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.84,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.66
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.26,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.66
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.66
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.36,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.48,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.56
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.79
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.06
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.97
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.38,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.66
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.21,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.56,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.26,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.84,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.66
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.66
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",
			"code_information": [
				{
					"code": "895",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14391.0,
					"minimum": 9024.75,
					"maximum": 39208.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 22518.68
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18580.82
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13680.81,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13957.19,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 18709.39,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 20148.58,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 14391.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26596.12,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21429.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 20637.9,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18709.39,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17989.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 23026.94,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14648.14,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 14391.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17989.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14391.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 20148.58,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 23026.94,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14391.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 9024.75
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13819.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19070.22,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 23215.13
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC DBM CHIPS 5CC ARTHRX",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AMIKACIN TROUGH LC - 80150 - 75100150B",
			"code_information": [
				{
					"code": "80150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 49.76,
					"discounted_cash": 15.0,
					"minimum": 14.928,
					"maximum": 49.76,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.27,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.62,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.6,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.98,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.3
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.87,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES- SOI : 1",
			"code_information": [
				{
					"code": "2261",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6668.03,
					"maximum": 7868.28,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6668.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7134.79,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6668.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6668.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7868.28,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6668.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6668.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6668.03,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",
			"code_information": [
				{
					"code": "896",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17669.0,
					"minimum": 10176.0,
					"maximum": 32653.7904,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 27696.15
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19640.69
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16793.96,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17133.24,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 22970.74,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24737.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32653.79,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26310.33,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 25338.49,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22970.74,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 22087.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28271.68,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17981.42,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 22087.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 24737.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28271.68,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17669.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 14374.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16963.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23409.77,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 28552.73
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC DBM GEL 5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Ancef - 00338350341",
			"drug_information": {
				"unit": 100.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00338350341",
					"type": "NDC"
				},
				{
					"code": "J0690",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 31.9,
							"10th_percentile": 31.9,
							"90th_percentile": 31.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",
			"code_information": [
				{
					"code": "897",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9091.0,
					"minimum": 6996.0,
					"maximum": 17024.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 13720.54
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9385.78
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8646.81,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8821.49,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 11818.82,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12727.96,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 9091.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16800.91,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 13537.09,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 13037.07,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11818.82,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11364.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 14546.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9258.2,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 9091.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11364.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9091.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 12727.96,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 14546.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9091.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8734.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12053.13,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14144.89
						}
					]
				}
			]
		},
		{
			"description": "ALPHAVENT SUT ANCHOR 4.75MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Ancef 1GM/D5w 50ML",
			"drug_information": {
				"unit": 50.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00409080501",
					"type": "NDC"
				},
				{
					"code": "J0690",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 31.9,
							"10th_percentile": 31.9,
							"90th_percentile": 31.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOLIC LIVER DISEASE - SOI : 1",
			"code_information": [
				{
					"code": "2801",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4881.76,
					"maximum": 5760.48,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4881.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5223.48,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4881.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4881.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5760.48,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4881.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4881.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4881.76,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMIKACIN LC 2",
			"code_information": [
				{
					"code": "80150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 49.76,
					"discounted_cash": 15.0,
					"minimum": 14.928,
					"maximum": 49.76,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.27,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.62,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.6,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.98,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.3
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.87,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC",
			"code_information": [
				{
					"code": "239",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 49271.0,
					"minimum": 32928.976,
					"maximum": 91053.6766,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 78337.12
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 53332.64
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 46807.0,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47752.6,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 64052.91,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 68980.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 49271.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 91053.68,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 73365.22,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 70655.29,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 64052.91,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 61589.34,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 78834.35,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 50116.59,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 49271.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 61589.34,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 49271.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 68980.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 78834.35,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 73030.24
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 49271.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 48525.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47279.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65246.12,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 80759.92
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR AIR+ MENISC RPR",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALCOHOLIC LIVER DISEASE - SOI : 4",
			"code_information": [
				{
					"code": "2804",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19238.69,
					"maximum": 22701.65,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19238.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 20585.4,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19238.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19238.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22701.65,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19238.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19238.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19238.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMIKACIN RANDOM LC",
			"code_information": [
				{
					"code": "80150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 49.76,
					"discounted_cash": 15.0,
					"minimum": 14.928,
					"maximum": 49.76,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.62,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.6,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.98,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.3
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.87,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.27,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "241",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14081.0,
					"minimum": 13385.988,
					"maximum": 62962.016,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 23482.94
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17317.66
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13385.99,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.41,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 18305.89,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19714.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 14081.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26022.52,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20967.28,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 20192.8,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18305.89,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17601.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22530.32,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14332.47,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 14081.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17601.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14081.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 19714.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22530.32,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 21179.2
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14081.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 20550.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13521.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18659.26,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 24209.22
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR BIO-PUSHLOCK",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AMIKACIN TROUGH LC - 80150 - 75100150C",
			"code_information": [
				{
					"code": "80150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 49.76,
					"discounted_cash": 15.0,
					"minimum": 14.928,
					"maximum": 49.76,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.75
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.27,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.62,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.6,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.98,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.3
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.62
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.38
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.87,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 1",
			"code_information": [
				{
					"code": "3051",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9407.33,
					"maximum": 11100.65,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9407.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10065.84,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9407.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9407.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11100.65,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9407.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9407.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9407.33,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS ISOENZ LC 4",
			"code_information": [
				{
					"code": "84080",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48.77,
					"discounted_cash": 14.0,
					"minimum": 14.631,
					"maximum": 48.77,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.63,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.17,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.67,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.67,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.74,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.47,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMNIO FILL 1000.0MG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 4",
			"code_information": [
				{
					"code": "3054",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 31219.94,
					"maximum": 36839.53,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31219.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 33405.34,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31219.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31219.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 36839.53,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31219.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31219.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31219.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR FIBERTAK K-LESS SP 2.6M",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALK PHOS TOTAL LC",
			"code_information": [
				{
					"code": "84080",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48.77,
					"discounted_cash": 14.0,
					"minimum": 14.631,
					"maximum": 48.77,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.63,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.17,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.67,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.87
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.67,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.08
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.74,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.47,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "618",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14418.0,
					"minimum": 13706.253,
					"maximum": 56939.528,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 16947.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19105.69,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 19963.51
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 19364.6
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14327.64
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13706.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13983.15,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 18744.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 20186.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 14418.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26645.76,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21469.44,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 20676.42,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18744.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18023.38,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 23069.92,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14675.38,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 14418.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18023.38,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14418.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 20186.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 23069.92,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14418.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR KNTLSS QUATTRO 4.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALLERGIC REACTIONS - SOI : 1",
			"code_information": [
				{
					"code": "8111",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 2829.41,
					"maximum": 3338.7,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2829.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3027.47,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2829.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2829.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3338.7,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2829.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2829.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2829.41,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "Amputation toe & metatarsal",
			"code_information": [
				{
					"code": "28810",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 909.75,
					"discounted_cash": 4187.0,
					"minimum": 272.925,
					"maximum": 909.75,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 909.75
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 363.13
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.55
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 363.13
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 363.13
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 526.54
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 363.13
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 363.13
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 363.13
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 909.75,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHORS BONE(3) SMITH&NEPHEW",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALLERGIC REACTIONS - SOI : 3",
			"code_information": [
				{
					"code": "8113",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8023.9,
					"maximum": 9468.2,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8023.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8585.57,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8023.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8023.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9468.2,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8023.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8023.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8023.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPLATTZ SUPER STIFF 0.035X280",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANA LC 14",
			"code_information": [
				{
					"code": "86038",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 39.9,
					"discounted_cash": 12.0,
					"minimum": 5.796,
					"maximum": 118.23,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.68
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.9
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.9
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 37.31,
							"10th_percentile": 37.31,
							"90th_percentile": 37.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.82,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.69
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.51,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 3",
			"code_information": [
				{
					"code": "1983",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6257.77,
					"maximum": 7384.17,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6257.77,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6695.81,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6257.77,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6257.77,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7384.17,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6257.77,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6257.77,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6257.77,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 3",
			"code_information": [
				{
					"code": "0073",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 89273.14,
					"maximum": 105342.31,
					"payers_information": [
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 89273.14,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 105342.31,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 89273.14,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 89273.14,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 89273.14,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 89273.14,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 95522.26,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 89273.14,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPLATZ GUIDEWIRE 0.035INX80CM",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANA LC 8",
			"code_information": [
				{
					"code": "86038",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 19.32,
					"discounted_cash": 12.0,
					"minimum": 5.796,
					"maximum": 118.23,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 37.31,
							"10th_percentile": 37.31,
							"90th_percentile": 37.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.82,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.69
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.51,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOGRAPHY EXTREMITY BILAT - 75716 - 45775716",
			"code_information": [
				{
					"code": "75716",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15185.0,
					"discounted_cash": 4041.0,
					"minimum": 143.37,
					"maximum": 18041.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 422.53
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2316.81
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1946.1
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.37
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 153.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.37
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.37
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.89
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.37
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.37
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.37
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPLATZ SUPER STIFF .035INX2CM",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND STOMAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "347",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 23146.0,
					"minimum": 10057.1712,
					"maximum": 42774.3994,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 36810.0
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30110.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21995.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22439.47,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 30090.22,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32404.85,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 23146.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 42774.4,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 34464.87,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 33191.82,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30090.22,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28932.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 37034.11,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23550.34,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 23146.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28932.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23146.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 32404.85,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 37034.11,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 38728.76
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23146.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 32213.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22217.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 30659.87,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 37948.46
						}
					]
				}
			]
		},
		{
			"description": "ANGIOGRAPHY EXTREMITY UNI - G0278 - 45775710",
			"code_information": [
				{
					"code": "G0278",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15185.0,
					"minimum": 29.001,
					"maximum": 15185.0,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.44
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.77
						}
					]
				}
			]
		},
		{
			"description": "AMYBF LC",
			"code_information": [
				{
					"code": "82150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35.64,
					"discounted_cash": 6.0,
					"minimum": 6.414,
					"maximum": 246.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.52
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.28,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.64
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.03
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 138.01,
							"10th_percentile": 138.01,
							"90th_percentile": 138.01,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.42,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.72,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.54,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.65
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.29
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.04
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.42,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.54
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.19,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Ancef - 00264310311",
			"drug_information": {
				"unit": 50.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00264310311",
					"type": "NDC"
				},
				{
					"code": "J0690",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 31.9,
							"10th_percentile": 31.9,
							"90th_percentile": 31.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOSEAL VIP 6FR",
			"code_information": [
				{
					"code": "C1760",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1237.59,
							"10th_percentile": 1237.59,
							"90th_percentile": 1237.59,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 887.25,
							"10th_percentile": 887.25,
							"90th_percentile": 887.25,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ALLOSYNC PURE 2.5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANA DIRECT LC",
			"code_information": [
				{
					"code": "86038",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 66.5,
					"discounted_cash": 12.0,
					"minimum": 5.796,
					"maximum": 118.23,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.68
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.24
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 37.31,
							"10th_percentile": 37.31,
							"90th_percentile": 37.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.82,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.69
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.51,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR BASE TI 38MM EASYTECH",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOTENSIN CONVERT ENZ LC 1",
			"code_information": [
				{
					"code": "82164",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48.18,
					"discounted_cash": 14.0,
					"minimum": 14.454,
					"maximum": 80.3,
					"payers_information": [
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.48,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.59
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.82
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.82
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.52,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.23,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.66,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.18
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.18
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 45.05,
							"10th_percentile": 45.05,
							"90th_percentile": 45.05,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.9,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.74
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.94
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.98,
							"additional_payer_notes": "130.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALPHAVENT SUT ANCHOR BC 4.75MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES- SOI : 2",
			"code_information": [
				{
					"code": "2262",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8216.84,
					"maximum": 9695.87,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8216.84,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8792.02,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8216.84,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8216.84,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9695.87,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8216.84,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8216.84,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8216.84,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE 5.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 2",
			"code_information": [
				{
					"code": "0592",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7339.07,
					"maximum": 8660.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7339.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7852.8,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7339.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7339.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8660.1,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7339.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7339.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7339.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS - SOI : 2",
			"code_information": [
				{
					"code": "0522",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6485.69,
					"maximum": 7653.11,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6485.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6939.69,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6485.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6485.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7653.11,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6485.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6485.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6485.69,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES- SOI : 3",
			"code_information": [
				{
					"code": "2263",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12875.97,
					"maximum": 15193.64,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12875.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13777.29,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12875.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12875.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15193.64,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12875.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12875.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12875.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANES 1ST 60 MIN",
			"code_information": [
				{
					"code": "Z7506",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1500.0,
					"minimum": 146.17,
					"maximum": 1500.0,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.17
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 156.4
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.17
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.17
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 211.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.17
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.17
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.17
						}
					]
				}
			]
		},
		{
			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 4",
			"code_information": [
				{
					"code": "0594",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16561.94,
					"maximum": 19543.09,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16561.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17721.28,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16561.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16561.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19543.09,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16561.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16561.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16561.94,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "474",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 43016.0,
					"minimum": 40866.012,
					"maximum": 84655.988,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 69748.95
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 44255.23
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40866.01,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41691.59,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 55920.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 60222.4,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 43016.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 79493.57,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 64050.82,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 61684.94,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 55920.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 53770.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 68825.6,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43755.53,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 43016.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 53770.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 43016.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 60222.4,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 68825.6,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 65372.91
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43016.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 70731.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41278.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56964.74,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 71906.14
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND STOMAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "349",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8970.0,
					"minimum": 7650.0,
					"maximum": 30063.14,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 13700.33
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11202.86
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8531.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8703.9,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 11661.04,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12558.04,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 8970.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16576.62,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 13356.37,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 12863.02,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11661.04,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11212.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 14352.05,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9134.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 8970.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11212.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8970.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 12558.04,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 14352.05,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 14825.44
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8970.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 9049.27
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8617.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11892.45,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 14124.05
						}
					]
				}
			]
		},
		{
			"description": "ANGI CATH GD 45CM 9FR ACTY PRO",
			"code_information": [
				{
					"code": "C1887",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 93.37,
							"10th_percentile": 93.37,
							"90th_percentile": 720.84,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 1",
			"code_information": [
				{
					"code": "5471",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4360.09,
					"maximum": 5144.91,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4360.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4665.3,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4360.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4360.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5144.91,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4360.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4360.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4360.09,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 2",
			"code_information": [
				{
					"code": "3052",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12581.27,
					"maximum": 14845.9,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12581.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13461.96,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12581.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12581.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14845.9,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12581.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12581.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12581.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCEF - 00409080501",
			"drug_information": {
				"unit": 1.0,
				"type": "GR"
			},
			"code_information": [
				{
					"code": "00409080501",
					"type": "NDC"
				},
				{
					"code": "J0690",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 31.9,
							"10th_percentile": 31.9,
							"90th_percentile": 31.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS",
			"code_information": [
				{
					"code": "311",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 7291.0,
					"minimum": 6937.6428,
					"maximum": 41120.144,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10860.41
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7823.39
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6937.64,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7077.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9479.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10208.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 7291.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13475.17,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10857.43,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 10456.38,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9479.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9114.7,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11666.82,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7428.18,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 7291.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9114.7,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7291.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 10208.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11666.82,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 10606.31
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7291.76,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 8095.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7007.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9670.65,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11196.3
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 4",
			"code_information": [
				{
					"code": "5664",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13254.22,
					"maximum": 15639.98,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13254.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14182.02,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13254.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13254.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15639.98,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13254.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13254.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13254.22,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",
			"code_information": [
				{
					"code": "617",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18915.0,
					"minimum": 16384.2016,
					"maximum": 34955.5114,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 30041.49
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23427.9
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17976.92,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18340.09,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 24589.92,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26481.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 18915.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34955.51,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 28164.91,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 27124.57,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24589.92,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23644.15,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30264.51,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19248.01,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 18915.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23644.15,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18915.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 26481.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30264.51,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18915.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 18639.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18158.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25058.73,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 30970.61
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE COBRAID",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOGRAPHY ILIAC DURING CATH",
			"code_information": [
				{
					"code": "G0278",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 96.67,
					"minimum": 29.001,
					"maximum": 15185.0,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.44
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.77
						}
					]
				}
			]
		},
		{
			"description": "ANTITHROMBIN III AG LC 4",
			"code_information": [
				{
					"code": "85301",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 19.0,
					"discounted_cash": 10.0,
					"minimum": 4.2,
					"maximum": 59.46,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.99
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.66,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.37
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.37
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.24,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.81,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.0
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AMYLASE",
			"code_information": [
				{
					"code": "82150",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 246.0,
					"discounted_cash": 6.0,
					"minimum": 6.414,
					"maximum": 246.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.52
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.28,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.71
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.03
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 138.01,
							"10th_percentile": 138.01,
							"90th_percentile": 138.01,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.42,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.72,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.54,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.65
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.29
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.04
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.42,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.87,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.54
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.19,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.78,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE MINI 1.8MM Q-FIX",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOPL TRNLM AORTIC PERC",
			"code_information": [
				{
					"code": "37246",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15255.0,
					"discounted_cash": 7284.0,
					"minimum": 1960.53,
					"maximum": 25425.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9308.26,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7189.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7211.59,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1960.53
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10926.65,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7357.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10198.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10846.52,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10445.87,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2097.77
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9469.76,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9105.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1960.53
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1960.53
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7721.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9105.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2842.77
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1960.53
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10198.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9203.99,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1960.53
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1960.53
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7284.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8741.32,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9596.14,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 1",
			"code_information": [
				{
					"code": "2331",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8727.8,
					"maximum": 10298.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8727.8,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9338.75,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8727.8,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8727.8,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10298.8,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8727.8,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8727.8,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8727.8,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANA LC 13",
			"code_information": [
				{
					"code": "86038",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 118.23,
					"discounted_cash": 12.0,
					"minimum": 5.796,
					"maximum": 118.23,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.68
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.66
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.24
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 37.31,
							"10th_percentile": 37.31,
							"90th_percentile": 37.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.82,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.69
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.51,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHORS BONE 3W ARTHRO DEL",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Ankle arthroscopysurgery - 29891 - ",
			"code_information": [
				{
					"code": "29891",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8509.6,
					"discounted_cash": 4187.0,
					"minimum": 778.61,
					"maximum": 8509.6,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5516.68,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5351.18,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6637.94
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4145.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6281.57,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4229.59,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5862.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6235.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6005.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 833.11
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5444.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5234.64,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4438.97,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5234.64,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1128.98
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5862.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5291.24,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5025.25,
							"additional_payer_notes": "120.00% of Medicare Rates"
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 8509.6,
					"discounted_cash": 4187.0,
					"minimum": 778.61,
					"maximum": 8509.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5351.18,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6637.94
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4145.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6281.57,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4229.59,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5862.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6235.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6005.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 833.11
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5444.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5234.64,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4438.97,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5234.64,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1128.98
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5862.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5291.24,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 778.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5025.25,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5516.68,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 2",
			"code_information": [
				{
					"code": "2332",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11244.48,
					"maximum": 13268.49,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11244.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12031.59,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11244.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11244.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13268.49,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11244.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11244.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11244.48,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANA RFLX LC",
			"code_information": [
				{
					"code": "86038",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 66.5,
					"discounted_cash": 12.0,
					"minimum": 5.796,
					"maximum": 118.23,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.68
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.24
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 37.31,
							"10th_percentile": 37.31,
							"90th_percentile": 37.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.82,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.11,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.69
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.93,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.51,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANES ADDL 15 MIN",
			"code_information": [
				{
					"code": "Z7508",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 375.0,
					"minimum": 58.47,
					"maximum": 375.0,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.56
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.47
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.47
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.78
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.47
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.47
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.47
						}
					]
				}
			]
		},
		{
			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 1",
			"code_information": [
				{
					"code": "0591",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4225.56,
					"maximum": 4986.16,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4225.56,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4521.35,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4225.56,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4225.56,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4986.16,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4225.56,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4225.56,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4225.56,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 1",
			"code_information": [
				{
					"code": "2341",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7065.57,
					"maximum": 8337.37,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7065.57,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7560.16,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7065.57,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7065.57,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8337.37,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7065.57,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7065.57,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7065.57,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES- SOI : 4",
			"code_information": [
				{
					"code": "2264",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21704.49,
					"maximum": 25611.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21704.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 23223.8,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21704.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21704.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25611.3,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21704.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21704.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21704.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 2",
			"code_information": [
				{
					"code": "1982",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4834.06,
					"maximum": 5704.19,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4834.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5172.44,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4834.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4834.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5704.19,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4834.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4834.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4834.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTEGRADE FEM NAIL R 10MMX42CM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "APPENDIX PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "398",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15366.0,
					"minimum": 13500.0,
					"maximum": 32068.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 23534.26
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14606.76,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14901.84,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 19976.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21513.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 15366.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28397.79,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 22881.12,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 22035.95,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19976.8,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19208.46,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24586.83,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15639.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 15366.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19208.46,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15366.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 21513.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24586.83,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 22991.73
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15366.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 32068.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14754.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20360.93,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 24262.13
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND STOMAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "348",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13329.0,
					"minimum": 12671.703,
					"maximum": 49140.268,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16095.62
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12671.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12927.7,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 17328.18,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18661.12,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 13329.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24632.68,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19847.43,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 19114.32,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17328.18,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16661.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21326.99,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13567.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 13329.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16661.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 13329.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 18661.12,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21326.99,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 19772.31
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13329.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 16477.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17663.59,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 20184.77
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 19579.23
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 12799.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOGRAPHY EXTREMITY BILAT - G0278 - 45775716",
			"code_information": [
				{
					"code": "G0278",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15185.0,
					"minimum": 29.001,
					"maximum": 15185.0,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.44
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.77
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 3",
			"code_information": [
				{
					"code": "5473",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13219.02,
					"maximum": 15598.44,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13219.02,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14144.35,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13219.02,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13219.02,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15598.44,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13219.02,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13219.02,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13219.02,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT ARM LONG LT",
			"code_information": [
				{
					"code": "29105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 904.45,
					"discounted_cash": 207.0,
					"minimum": 95.06,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 361.78,
							"10th_percentile": 361.78,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 821.24,
							"10th_percentile": 821.24,
							"90th_percentile": 833.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 495.6,
							"90th_percentile": 507.4,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 101.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.84
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 569.89,
							"10th_percentile": 569.89,
							"90th_percentile": 569.89,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Anal sp inf pmp wreprg&fill",
			"code_information": [
				{
					"code": "62369",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1819.5,
					"discounted_cash": 393.0,
					"minimum": 29.41,
					"maximum": 1819.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.3,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 278.56
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 389.16,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.64,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 397.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 585.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 511.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.64
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.68,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.71,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.84,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 1819.5,
					"discounted_cash": 393.0,
					"minimum": 29.41,
					"maximum": 1819.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.3,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 278.56
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 389.16,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.64,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 397.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 585.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 511.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.64
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.68,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.41
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.71,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.84,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Ankle arthroscopysurgery - 29897 - ",
			"code_information": [
				{
					"code": "29897",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3329.03,
					"discounted_cash": 4187.0,
					"minimum": 375.28,
					"maximum": 3329.03,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 3329.03
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 375.28
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 401.55
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 375.28
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 375.28
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 544.16
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 375.28
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 375.28
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 375.28
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3329.03,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 1",
			"code_information": [
				{
					"code": "5661",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 2268.08,
					"maximum": 2676.33,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2268.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2426.85,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2268.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2268.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2676.33,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2268.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2268.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2268.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT LEG LONG BI",
			"code_information": [
				{
					"code": "29505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 625.75,
					"discounted_cash": 207.0,
					"minimum": 98.8,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 361.78,
							"10th_percentile": 361.78,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 689.82,
							"10th_percentile": 689.82,
							"90th_percentile": 821.24,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 507.4,
							"90th_percentile": 513.05,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4625",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 480.27,
							"10th_percentile": 480.27,
							"90th_percentile": 480.27,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 105.72
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 2031.69,
							"10th_percentile": 2031.69,
							"90th_percentile": 2373.65,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Ancef - 00264310511",
			"drug_information": {
				"unit": 50.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00264310511",
					"type": "NDC"
				},
				{
					"code": "J0690",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 31.9,
							"10th_percentile": 31.9,
							"90th_percentile": 31.9,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANOSCOPY W/REMOVE FB",
			"code_information": [
				{
					"code": "46608",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2129.94,
					"discounted_cash": 1190.0,
					"minimum": 154.87,
					"maximum": 2129.94,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1520.9,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 725.3
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.32,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 154.87
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1785.33,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1202.12,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1666.31,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1772.24,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1706.78,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 165.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1547.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1487.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 154.87
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 154.87
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1261.63,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1487.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.56
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 154.87
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1666.31,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1503.86,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 154.87
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 154.87
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1428.26,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1567.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTERIOR COLPORRHAPHY, REPAIR CYSTOCELE",
			"code_information": [
				{
					"code": "57240",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3730.49,
					"discounted_cash": 6402.0,
					"minimum": 617.8,
					"maximum": 3730.49,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 3730.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 661.05
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 895.81
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3730.49,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT LEG SHORT BI",
			"code_information": [
				{
					"code": "29515",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 406.26,
					"discounted_cash": 207.0,
					"minimum": 81.17,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 250.3,
							"10th_percentile": 250.3,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 821.24,
							"10th_percentile": 576.44,
							"90th_percentile": 833.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 131.28,
							"90th_percentile": 507.4,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.85
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 117.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1902.81,
							"10th_percentile": 1902.81,
							"90th_percentile": 1902.81,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR  KNOTLESS FIIBERTAK 1.8",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 2",
			"code_information": [
				{
					"code": "5472",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8566.24,
					"maximum": 10108.16,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8566.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9165.88,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8566.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8566.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10108.16,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8566.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8566.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8566.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTI DIURETIC HORMONE LC 4",
			"code_information": [
				{
					"code": "84588",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 332.01,
					"discounted_cash": 33.0,
					"minimum": 33.6006,
					"maximum": 332.01,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 91.76
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.37,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.97
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.93
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.64
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.62
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.91,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.28,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.52,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.54
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.67
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.04
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.62
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.62
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.98,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.2
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.62
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.52,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.88,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.62
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.7
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.7
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.62
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.73,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.71,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPLIER CLIP  10MM",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 4",
			"code_information": [
				{
					"code": "5474",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25639.21,
					"maximum": 30254.27,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25639.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27433.95,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25639.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25639.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 30254.27,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25639.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25639.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25639.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTI DNA DS AB LC 9",
			"code_information": [
				{
					"code": "86225",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 45.34,
					"discounted_cash": 13.0,
					"minimum": 13.602,
					"maximum": 134.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.13
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.56,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 42.39,
							"10th_percentile": 4.51,
							"90th_percentile": 42.39,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.98
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.61,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.88,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.86,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.31
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.36,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.34
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.34
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARRHYTHMIA INDUCTION ELECTRIC - 93618 - 45793618",
			"code_information": [
				{
					"code": "93618",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3884.2,
					"discounted_cash": 1558.0,
					"minimum": 73.59,
					"maximum": 3884.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1991.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1155.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1542.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2337.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1573.86,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2181.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2320.28,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2234.57,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.74
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2025.76,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1947.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1651.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1947.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 106.71
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2181.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1968.91,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1869.94,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2052.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE 1.8MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 2",
			"code_information": [
				{
					"code": "5662",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3248.78,
					"maximum": 3833.56,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3248.78,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3476.19,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3248.78,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3248.78,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3833.56,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3248.78,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3248.78,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3248.78,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTI NEUTRO CYTOPLAS AB LC 10",
			"code_information": [
				{
					"code": "86021",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 133.7,
					"discounted_cash": 15.0,
					"minimum": 14.8995,
					"maximum": 133.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.95
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.23,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 96.74
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.78
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.58,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.2,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.57,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.95,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.02,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.83,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARRHYTHMIA INDUCTION ELECTRIC - 93618 - 45993618",
			"code_information": [
				{
					"code": "93618",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3884.2,
					"discounted_cash": 1558.0,
					"minimum": 73.59,
					"maximum": 3884.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1991.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1155.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1542.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2337.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1573.86,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2181.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2320.28,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2234.57,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.74
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2025.76,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1947.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1651.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1947.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 106.71
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2181.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1968.91,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.59
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1558.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1869.94,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2052.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE 2.8",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 3",
			"code_information": [
				{
					"code": "5663",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6022.96,
					"maximum": 7107.09,
					"payers_information": [
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6022.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6022.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7107.09,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6022.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6022.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6022.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6022.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6444.57,
							"additional_payer_notes": "107% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTITHROMBIN III ACTIVITY LC 8",
			"code_information": [
				{
					"code": "85300",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 19.25,
					"discounted_cash": 11.0,
					"minimum": 5.775,
					"maximum": 19.25,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.25
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.14,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.25
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.25
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.25
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.01
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.78,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.97,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.64
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.85
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.41,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.01
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.01
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.41
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.01
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.97,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.01
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.25
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.25
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.01
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.61,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARSENAL 5HOLE VLC PLATE",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANCHOR SUTURE 4.5MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTEROLATERAL TIB PLATE RT 11H",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARSENAL SCREW DRILL BIT 2.7MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 1",
			"code_information": [
				{
					"code": "1981",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3984.92,
					"maximum": 4702.21,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3984.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4263.86,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3984.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3984.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4702.21,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3984.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3984.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3984.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTI DNA DS AB LC 8",
			"code_information": [
				{
					"code": "86225",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 134.4,
					"discounted_cash": 13.0,
					"minimum": 13.602,
					"maximum": 134.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.13
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.56,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 88.31
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.18
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 42.39,
							"10th_percentile": 4.51,
							"90th_percentile": 42.39,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.98
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.61,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.88,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.86,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.31
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.36,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.34
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.34
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 4",
			"code_information": [
				{
					"code": "2334",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 24117.27,
					"maximum": 28458.38,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24117.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25805.48,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24117.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24117.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 28458.38,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24117.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24117.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24117.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTEGRAFT COLLAGEN GRFT 6X45CM",
			"code_information": [
				{
					"code": "C1768",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 6545.0,
							"10th_percentile": 6545.0,
							"90th_percentile": 6545.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 4",
			"code_information": [
				{
					"code": "1984",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10894.65,
					"maximum": 12855.69,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10894.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11657.28,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10894.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10894.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12855.69,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10894.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10894.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10894.65,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTI-JO-1 AB LC",
			"code_information": [
				{
					"code": "86235",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 59.17,
					"discounted_cash": 17.0,
					"minimum": 16.74,
					"maximum": 182.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.25
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.17
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.17
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 102.38,
							"10th_percentile": 37.85,
							"90th_percentile": 362.48,
							"count": "17"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.75,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.9,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.11,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.1,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.91
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.41,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.01,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.41,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.27
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.1,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.65,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.48
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.48
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.93,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.52,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.62,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 3",
			"code_information": [
				{
					"code": "2343",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13392.24,
					"maximum": 15802.84,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13392.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14329.7,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13392.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13392.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15802.84,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13392.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13392.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13392.24,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "Artery-vein nonautograft",
			"code_information": [
				{
					"code": "36830",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7278.0,
					"discounted_cash": 7121.0,
					"minimum": 834.68,
					"maximum": 7278.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 4779.01
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7050.56,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 834.68
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7193.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 893.11
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 834.68
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 834.68
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1210.29
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 834.68
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 834.68
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 834.68
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7278.0,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANGIOGRAPHY EXTREMITY UNI - 75710 - 45775710",
			"code_information": [
				{
					"code": "75710",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15185.0,
					"discounted_cash": 4041.0,
					"minimum": 130.84,
					"maximum": 18041.4,
					"payers_information": [
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 189.72
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.84
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.84
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.84
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 367.63
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2304.13
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1935.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.84
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 140.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.84
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.84
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTIBODY SCREEN,EACH MEDIA",
			"code_information": [
				{
					"code": "86850",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 357.0,
					"discounted_cash": 66.0,
					"minimum": 2.98,
					"maximum": 357.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.76
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 85.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 69.4
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.29
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 200.28,
							"10th_percentile": 200.28,
							"90th_percentile": 282.75,
							"count": "26"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.02,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.98
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 100.04,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.36,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 93.37,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 180.57,
							"10th_percentile": 180.57,
							"90th_percentile": 180.57,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 99.3,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.63,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.98
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.98
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.69,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.32
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.98
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 93.37,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.26,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.98
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.92
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.92
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.98
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.69,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 80.03,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 87.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT ARM SHORT STATI BI",
			"code_information": [
				{
					"code": "29125",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500.1,
					"discounted_cash": 170.0,
					"minimum": 75.84,
					"maximum": 738.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 295.54,
							"10th_percentile": 295.54,
							"90th_percentile": 295.54,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 460.69,
							"10th_percentile": 460.69,
							"90th_percentile": 670.88,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 396.08,
							"10th_percentile": 279.63,
							"90th_percentile": 414.49,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 109.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1657.84,
							"10th_percentile": 332.03,
							"90th_percentile": 2417.74,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT INTER BI",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 734.1,
					"discounted_cash": 392.0,
					"minimum": 54.46,
					"maximum": 1308.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTINUCLEAR AB TITER LC 5",
			"code_information": [
				{
					"code": "86039",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 136.92,
					"discounted_cash": 11.0,
					"minimum": 11.0484,
					"maximum": 136.92,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.17
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.26,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.65
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.18
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.56
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.05,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.62,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.18
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.51,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.83,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.62,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.1,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.39,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.7,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT ARM SHORT STATI LT",
			"code_information": [
				{
					"code": "29125",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 738.85,
					"discounted_cash": 170.0,
					"minimum": 75.84,
					"maximum": 738.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 295.54,
							"10th_percentile": 295.54,
							"90th_percentile": 295.54,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 460.69,
							"10th_percentile": 460.69,
							"90th_percentile": 670.88,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 396.08,
							"10th_percentile": 279.63,
							"90th_percentile": 414.49,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 109.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1657.84,
							"10th_percentile": 332.03,
							"90th_percentile": 2417.74,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT MAJ LT",
			"code_information": [
				{
					"code": "20610",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1155.0,
					"discounted_cash": 392.0,
					"minimum": 65.68,
					"maximum": 1223.5,
					"payers_information": [
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.24
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3308",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 462.0,
							"10th_percentile": 462.0,
							"90th_percentile": 462.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Angiomax",
			"drug_information": {
				"unit": 250.0,
				"type": "ME"
			},
			"code_information": [
				{
					"code": "63323056210",
					"type": "NDC"
				},
				{
					"code": "J0583",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 295.36,
							"10th_percentile": 295.36,
							"90th_percentile": 344.08,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Antivert Tablet",
			"drug_information": {
				"unit": 25.0,
				"type": "ME"
			},
			"code_information": [
				{
					"code": "00904651761",
					"type": "NDC"
				},
				{
					"code": "J8597",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 8.0,
							"10th_percentile": 8.0,
							"90th_percentile": 8.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 5.61,
							"10th_percentile": 5.61,
							"90th_percentile": 5.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 5.11,
							"10th_percentile": 5.11,
							"90th_percentile": 5.11,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT ARM SHORT STATI RT",
			"code_information": [
				{
					"code": "29125",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 738.85,
					"discounted_cash": 170.0,
					"minimum": 75.84,
					"maximum": 738.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 295.54,
							"10th_percentile": 295.54,
							"90th_percentile": 295.54,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 460.69,
							"10th_percentile": 460.69,
							"90th_percentile": 670.88,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 396.08,
							"10th_percentile": 279.63,
							"90th_percentile": 414.49,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 109.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1657.84,
							"10th_percentile": 332.03,
							"90th_percentile": 2417.74,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.84
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT SMALL RT",
			"code_information": [
				{
					"code": "20600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 734.1,
					"discounted_cash": 392.0,
					"minimum": 46.46,
					"maximum": 1305.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.37
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Ankle arthroscopy/surgery",
			"code_information": [
				{
					"code": "29895",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5003.63,
					"discounted_cash": 4187.0,
					"minimum": 357.04,
					"maximum": 5003.63,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 3452.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4145.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 357.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4229.59,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 382.03
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 357.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 357.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4438.97,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.71
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 357.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 357.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 357.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5003.63,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC",
			"code_information": [
				{
					"code": "269",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 42322.0,
					"minimum": 6750.0,
					"maximum": 104048.636,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 64709.9
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 48726.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40207.46,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 41019.74,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 55019.38,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 59251.64,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 42322.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 78212.16,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 63018.35,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 60690.61,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 55019.38,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 52903.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 67716.16,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 43050.42,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 42322.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 52903.25,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 42322.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 59251.64,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 67716.16,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 63182.07
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 42322.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 8410.43
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 40613.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56046.77,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 66711.23
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT FINGER STATIC LT",
			"code_information": [
				{
					"code": "29130",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 486.0,
					"discounted_cash": 170.0,
					"minimum": 32.04,
					"maximum": 486.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 289.06,
							"10th_percentile": 289.06,
							"90th_percentile": 289.06,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 272.65,
							"10th_percentile": 262.0,
							"90th_percentile": 272.65,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 318.48,
							"10th_percentile": 318.48,
							"90th_percentile": 1906.76,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROVENT ASP/INJ JT RT",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 745.5,
					"discounted_cash": 392.0,
					"minimum": 54.46,
					"maximum": 1308.85,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Ankle arthroscopysurgery - 29898 - ",
			"code_information": [
				{
					"code": "29898",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6086.21,
					"discounted_cash": 4187.0,
					"minimum": 415.86,
					"maximum": 6086.21,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5351.18,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 3452.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4145.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 415.86
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6086.21,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4229.59,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5862.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $6752",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 2294.64,
							"10th_percentile": 2294.64,
							"90th_percentile": 2294.64,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6086.21,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6005.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 444.97
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5444.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5234.64,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 415.86
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 415.86
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4438.97,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5234.64,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 603.0
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 415.86
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5862.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5291.24,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 415.86
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 415.86
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4187.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5025.25,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5516.68,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AORTOGRAPHY ABD SERIALOGRAPHY",
			"code_information": [
				{
					"code": "75625",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15185.0,
					"discounted_cash": 4041.0,
					"minimum": 102.25,
					"maximum": 18041.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 326.82
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2304.13
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1935.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.25
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 109.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.25
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.25
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.25
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.25
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.25
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT FINGER STATIC RT",
			"code_information": [
				{
					"code": "29130",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 486.0,
					"discounted_cash": 170.0,
					"minimum": 32.04,
					"maximum": 486.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 289.06,
							"10th_percentile": 289.06,
							"90th_percentile": 289.06,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 272.65,
							"10th_percentile": 262.0,
							"90th_percentile": 272.65,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 318.48,
							"10th_percentile": 318.48,
							"90th_percentile": 1906.76,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASAHI CONFIANZA PRO 12 180CM",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Anl sp inf pmp wmdreprg&fil",
			"code_information": [
				{
					"code": "62370",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8509.6,
					"discounted_cash": 393.0,
					"minimum": 39.46,
					"maximum": 8509.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.3,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 278.56
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 389.16,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.64,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 397.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 585.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.22
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 511.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.22
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.68,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.71,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.84,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 8509.6,
					"discounted_cash": 393.0,
					"minimum": 39.46,
					"maximum": 8509.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.3,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 278.56
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 389.16,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.64,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 397.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 585.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.22
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 511.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.36,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.22
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.33,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.68,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 393.09,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.71,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.84,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AORTOGRAPY THORACIC W/SER",
			"code_information": [
				{
					"code": "75605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 26179.6,
					"discounted_cash": 7121.0,
					"minimum": 98.32,
					"maximum": 26179.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 326.12
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9100.42,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2304.13
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1935.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3472.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7050.56,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.32
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10682.67,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7193.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9970.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10604.33,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10212.63,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 105.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9258.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8902.23,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.32
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.32
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7549.09,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8902.23,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 142.56
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.32
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9970.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8998.48,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.32
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3338.61
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.32
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7121.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8546.14,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9381.88,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT LEG SHORT RT",
			"code_information": [
				{
					"code": "29515",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 904.45,
					"discounted_cash": 207.0,
					"minimum": 81.17,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 821.24,
							"10th_percentile": 576.44,
							"90th_percentile": 833.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 131.28,
							"90th_percentile": 507.4,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.85
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 117.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1902.81,
							"10th_percentile": 1902.81,
							"90th_percentile": 1902.81,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 250.3,
							"10th_percentile": 250.3,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASSAY OF ACETAMINOPHEN - G0480 - 450G6039",
			"code_information": [
				{
					"code": "G0480",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 629.37,
					"discounted_cash": 114.0,
					"minimum": 63.95,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 63.95,
							"10th_percentile": 63.95,
							"90th_percentile": 251.75,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 509.72
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 428.16
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 119.11
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 113.29,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.65,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 115.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.09
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.04,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 121.3,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.04,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.73
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.58,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.93
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.93
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.32,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.74,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANOSCOPY REM TUM/POLYP MULTI",
			"code_information": [
				{
					"code": "46612",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6946.89,
					"discounted_cash": 3552.0,
					"minimum": 218.95,
					"maximum": 6946.89,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4539.45,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2769.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3516.95,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.95
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5328.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3587.99,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4973.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5289.63,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5094.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 234.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4618.21,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4440.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.95
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.95
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3765.62,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4440.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 317.48
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4973.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4488.6,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.95
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.95
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3552.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4262.96,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4679.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 4",
			"code_information": [
				{
					"code": "2344",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21609.08,
					"maximum": 25498.71,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21609.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 23121.72,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21609.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21609.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25498.71,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21609.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21609.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21609.08,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTEGRAFT COLLAGEN GRFT 7X35CM",
			"code_information": [
				{
					"code": "C1768",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 6545.0,
							"10th_percentile": 6545.0,
							"90th_percentile": 6545.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA - SOI : 2",
			"code_information": [
				{
					"code": "1412",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4806.49,
					"maximum": 5671.66,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4806.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5142.94,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4806.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4806.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5671.66,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4806.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4806.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4806.49,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 3",
			"code_information": [
				{
					"code": "0593",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10738.81,
					"maximum": 12671.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10738.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11490.53,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10738.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10738.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12671.8,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10738.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10738.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10738.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT ARM LONG BI",
			"code_information": [
				{
					"code": "29105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 406.26,
					"discounted_cash": 207.0,
					"minimum": 95.06,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 361.78,
							"10th_percentile": 361.78,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 821.24,
							"10th_percentile": 821.24,
							"90th_percentile": 833.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 495.6,
							"90th_percentile": 507.4,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 101.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.84
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 569.89,
							"10th_percentile": 569.89,
							"90th_percentile": 569.89,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT SMALL BI",
			"code_information": [
				{
					"code": "20600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 734.1,
					"discounted_cash": 392.0,
					"minimum": 46.46,
					"maximum": 1305.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.37
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASYMMETRIC PATELLA X3 SZ4 9MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ANTI DNA DS AB LC 1",
			"code_information": [
				{
					"code": "86225",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 45.34,
					"discounted_cash": 13.0,
					"minimum": 13.602,
					"maximum": 134.4,
					"payers_information": [
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.31
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.36,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.34
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.34
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.1,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.13
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.56,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.34
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 42.39,
							"10th_percentile": 4.51,
							"90th_percentile": 42.39,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.98
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.61,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.88,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.86,
							"additional_payer_notes": "130.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT LEG LONG LT",
			"code_information": [
				{
					"code": "29505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 904.45,
					"discounted_cash": 207.0,
					"minimum": 98.8,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 361.78,
							"10th_percentile": 361.78,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 689.82,
							"10th_percentile": 689.82,
							"90th_percentile": 821.24,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 507.4,
							"90th_percentile": 513.05,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4625",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 480.27,
							"10th_percentile": 480.27,
							"90th_percentile": 480.27,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 105.72
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 2031.69,
							"10th_percentile": 2031.69,
							"90th_percentile": 2373.65,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROSCOPY",
			"code_information": [
				{
					"code": "509",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15894.6057,
					"maximum": 59564.26,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 27321.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15894.61
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 20755.31
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 23909.5
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 28166.32
						}
					]
				}
			]
		},
		{
			"description": "AT-III AG LC",
			"code_information": [
				{
					"code": "85301",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 59.46,
					"discounted_cash": 10.0,
					"minimum": 4.2,
					"maximum": 59.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.22
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.81,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.37
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.99
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.66,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.37
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.37
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.24,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ANTITHROMBIN III AG LC 1",
			"code_information": [
				{
					"code": "85301",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14.0,
					"discounted_cash": 10.0,
					"minimum": 4.2,
					"maximum": 59.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.81,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.66,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.03
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.0,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT LEG LONG RT",
			"code_information": [
				{
					"code": "29505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 904.45,
					"discounted_cash": 207.0,
					"minimum": 98.8,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 361.78,
							"10th_percentile": 361.78,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 689.82,
							"10th_percentile": 689.82,
							"90th_percentile": 821.24,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 507.4,
							"90th_percentile": 513.05,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4625",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 480.27,
							"10th_percentile": 480.27,
							"90th_percentile": 480.27,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 105.72
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 2031.69,
							"10th_percentile": 2031.69,
							"90th_percentile": 2373.65,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTICULAR INSERT 11MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY AORTIC OPEN",
			"code_information": [
				{
					"code": "0236T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 14775.0,
					"minimum": 3308.0,
					"maximum": 35791.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC",
			"code_information": [
				{
					"code": "268",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 68732.0,
					"minimum": 18502.0,
					"maximum": 127017.2534,
					"payers_information": [
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 109971.65,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 69905.83,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 68732.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 85915.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 68732.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 96225.19,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 109971.65,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 104144.21
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 68732.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 18502.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 91009.48,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 106906.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 103698.82
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 77464.07
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65289.41,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 66608.39,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 89351.96,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 96225.19,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 68732.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 127017.25,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 102342.36,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 98562.09,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 65948.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 89351.96,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 85915.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT LEG SHORT LT",
			"code_information": [
				{
					"code": "29515",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 904.45,
					"discounted_cash": 207.0,
					"minimum": 81.17,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 250.3,
							"10th_percentile": 250.3,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 821.24,
							"10th_percentile": 576.44,
							"90th_percentile": 833.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 131.28,
							"90th_percentile": 507.4,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.85
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 117.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1902.81,
							"10th_percentile": 1902.81,
							"90th_percentile": 1902.81,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.17
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASAHI MIRACLE BROS .014 300",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY BRACHIOCEPHA OPEN",
			"code_information": [
				{
					"code": "0237T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 14775.0,
					"minimum": 3308.0,
					"maximum": 35791.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APHERESIS PLASMA PHERESIS - 36514 - 45436514",
			"code_information": [
				{
					"code": "36514",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1739.0,
					"discounted_cash": 1993.0,
					"minimum": 521.7,
					"maximum": 10000.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1357.02
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1045.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1417.07
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1739.0,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASO LC 1",
			"code_information": [
				{
					"code": "86063",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 19.04,
					"discounted_cash": 5.0,
					"minimum": 5.712,
					"maximum": 19.04,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.62
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.37,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.19
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.71,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.89
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.66,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.83,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.08,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.59
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.3
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.89
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.89
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.12,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.89
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.08,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.89
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.82
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.82
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.89
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.92,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ATHEROSCLEROSIS WITH MCC",
			"code_information": [
				{
					"code": "302",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12213.0,
					"minimum": 8722.9152,
					"maximum": 22569.9382,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18092.39
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12589.37
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11611.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11846.19,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 15877.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17098.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 12213.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22569.94,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18185.41,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 17513.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15877.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15266.46,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19541.07,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12432.63,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 12213.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15266.46,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12213.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 17098.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19541.07,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 17033.0
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12213.17,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 15833.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11728.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16185.88,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18651.95
						}
					]
				}
			]
		},
		{
			"description": "APHERESIS PLASMA PHERESIS - 36514 - 47436514",
			"code_information": [
				{
					"code": "36514",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 10000.0,
					"discounted_cash": 1993.0,
					"minimum": 521.7,
					"maximum": 10000.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2547.08,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1357.02
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1973.36,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2989.94,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2013.22,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2790.61,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2968.01,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2858.38,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1045.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2591.28,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2491.61,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2112.89,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2491.61,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1417.07
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2790.61,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2518.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 977.29
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1993.29,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2391.95,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2625.86,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARSENAL LOCKING SCRW 2.7X16MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASP ABSC/HEMA/CYST/BULLA",
			"code_information": [
				{
					"code": "10160",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1374.06,
					"discounted_cash": 520.0,
					"minimum": 67.29,
					"maximum": 1374.06,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 664.83,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 165.4
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 515.08,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.29
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 780.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 525.48,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 728.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 774.7,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 746.08,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 676.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 650.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.29
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.29
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 551.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 650.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 97.57
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.29
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 728.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 657.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.29
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.29
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 624.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 685.39,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 3",
			"code_information": [
				{
					"code": "2333",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15997.97,
					"maximum": 18877.6,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15997.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17117.83,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15997.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15997.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18877.6,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15997.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15997.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15997.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTERIAL BLOOD DRAW - 36600 - 18113",
			"code_information": [
				{
					"code": "36600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 491.25,
					"discounted_cash": 170.0,
					"minimum": 18.16,
					"maximum": 738.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.33
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASP BONE MARROW ONLY",
			"code_information": [
				{
					"code": "38220",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4044.09,
					"discounted_cash": 2113.0,
					"minimum": 183.54,
					"maximum": 4044.09,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 415.67
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.54
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 196.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.54
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.54
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 266.13
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.54
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.54
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.54
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUD PURE TONE AUDIOMETRY AUTO - 0209T - 4390209T",
			"code_information": [
				{
					"code": "0209T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 47.0,
					"minimum": 30.975,
					"maximum": 103.25,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 2",
			"code_information": [
				{
					"code": "2342",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9012.97,
					"maximum": 10635.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9012.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9643.88,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9012.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9012.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10635.3,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9012.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9012.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9012.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTERIAL BLOOD DRAW - 36600 - 47236600",
			"code_information": [
				{
					"code": "36600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 738.85,
					"discounted_cash": 170.0,
					"minimum": 18.16,
					"maximum": 738.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 381.61,
							"10th_percentile": 381.61,
							"90th_percentile": 381.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.33
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.16
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASPERGILLUS AB LC 8",
			"code_information": [
				{
					"code": "86606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 49.67,
					"discounted_cash": 15.0,
					"minimum": 6.249,
					"maximum": 82.78,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.7
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.23,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.78
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.58,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.2,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.57,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.95,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.26
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.07,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.02,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.35
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.05,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.06,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.83,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUG FEM 5MM NXGN F KN POST - C1776 - 278780677",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "APPENDIX PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "397",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24134.0,
					"minimum": 22933.35,
					"maximum": 47227.428,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 38536.35
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22933.35,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23396.65,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 31374.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33787.85,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 24134.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 44599.96,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35935.79,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 34608.41,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 31374.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30167.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 38614.69,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24554.9,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 24134.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30167.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 24134.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 33787.85,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 38614.69,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 34132.84
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24134.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 35663.7
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23165.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 31967.7,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 39728.19
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT MAJ BI",
			"code_information": [
				{
					"code": "20610",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1155.0,
					"discounted_cash": 392.0,
					"minimum": 65.68,
					"maximum": 1223.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3308",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 462.0,
							"10th_percentile": 462.0,
							"90th_percentile": 462.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.24
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATE PLEURA W/ IMAGING - 32555 - 46332555",
			"code_information": [
				{
					"code": "32555",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3543.86,
					"discounted_cash": 802.0,
					"minimum": 92.33,
					"maximum": 4893.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1025.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 814.43
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 794.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1204.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 810.89,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1195.46,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1151.3,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.79
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1043.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 851.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 133.88
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1014.43,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 963.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1057.65,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 4",
			"code_information": [
				{
					"code": "0084",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 65108.16,
					"maximum": 76827.63,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65108.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 69665.73,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65108.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65108.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 76827.63,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65108.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65108.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 65108.16,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPENDIX PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "399",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11696.0,
					"minimum": 8550.0,
					"maximum": 22573.484,
					"payers_information": [
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 11696.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21615.78,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17416.61,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 16773.28,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15205.91,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14621.06,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18714.96,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11907.62,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 11696.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14621.06,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11696.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 16375.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18714.96,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 16911.45
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11696.85,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 20627.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15502.37,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 18018.62
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 17478.06
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11121.26,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11345.94,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 15205.91,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16375.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11233.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT SMALL LT",
			"code_information": [
				{
					"code": "20600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1015.22,
					"discounted_cash": 392.0,
					"minimum": 46.46,
					"maximum": 1305.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 67.37
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATE PLEURA W/ IMAGING - 32555 - 46832555",
			"code_information": [
				{
					"code": "32555",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3543.86,
					"discounted_cash": 802.0,
					"minimum": 92.33,
					"maximum": 4893.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1025.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $5889",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1988.1,
							"10th_percentile": 1988.1,
							"90th_percentile": 1988.1,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 814.43
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 794.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1204.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 810.89,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1195.46,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1151.3,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.79
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1043.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 851.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 133.88
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1014.43,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 963.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1057.65,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AVULSION NAIL PLATE SINGLE - 11730 - 43911730",
			"code_information": [
				{
					"code": "11730",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 953.75,
					"discounted_cash": 256.0,
					"minimum": 45.93,
					"maximum": 1138.95,
					"payers_information": [
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 320.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.6
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 359.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 308.14,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 338.27,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.12,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 102.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 254.21,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 953.75,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.35,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 359.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 382.35,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 368.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 333.81,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 320.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 272.19,
							"additional_payer_notes": "106.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT ARM LONG RT",
			"code_information": [
				{
					"code": "29105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 904.45,
					"discounted_cash": 207.0,
					"minimum": 95.06,
					"maximum": 904.45,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3859",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 361.78,
							"10th_percentile": 361.78,
							"90th_percentile": 361.78,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 265.76,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 821.24,
							"10th_percentile": 821.24,
							"90th_percentile": 833.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 507.4,
							"10th_percentile": 495.6,
							"90th_percentile": 507.4,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 311.97,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.68,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 298.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 101.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 270.37,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 220.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.84
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 291.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 262.79,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 569.89,
							"10th_percentile": 569.89,
							"90th_percentile": 569.89,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.98,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 249.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 273.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHRODESIS GLENOHUMERAL JT",
			"code_information": [
				{
					"code": "23800",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3359.48,
					"discounted_cash": 9286.0,
					"minimum": 1007.844,
					"maximum": 3359.48,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 3359.48
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1209.57
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1294.24
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1209.57
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1209.57
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1753.88
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1209.57
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1209.57
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1209.57
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3359.48,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATEINJ GANGLION CYST",
			"code_information": [
				{
					"code": "20612",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6736.64,
					"discounted_cash": 392.0,
					"minimum": 54.36,
					"maximum": 6736.64,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.36
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.17
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.36
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.36
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.82
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.36
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.36
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.36
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC",
			"code_information": [
				{
					"code": "519",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20207.0,
					"minimum": 14400.0,
					"maximum": 51818.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 30668.26
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21799.26
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19204.22,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19592.18,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 26269.88,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28290.64,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 20207.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 37343.64,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30089.12,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 28977.7,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26269.88,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25259.5,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32332.16,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20562.09,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 20207.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25259.5,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20207.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 28290.64,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32332.16,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 29909.16
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20207.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 27325.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19398.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26769.52,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 31616.77
						}
					]
				}
			]
		},
		{
			"description": "APPL SPLINT FINGER STATIC BI",
			"code_information": [
				{
					"code": "29130",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 358.0,
					"discounted_cash": 170.0,
					"minimum": 32.04,
					"maximum": 486.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 90.8,
							"standard_charge_algorithm": "Not To Exceed $1517",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 289.06,
							"10th_percentile": 289.06,
							"90th_percentile": 289.06,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 272.65,
							"10th_percentile": 262.0,
							"90th_percentile": 272.65,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.28
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 318.48,
							"10th_percentile": 318.48,
							"90th_percentile": 1906.76,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTICULAR INSERT 10MM S&N",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Aspiration bladder insert supr - 51102 - 40151102",
			"code_information": [
				{
					"code": "51102",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5087.04,
					"discounted_cash": 2675.0,
					"minimum": 275.5,
					"maximum": 8857.75,
					"payers_information": [
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3210.49,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3524.45,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3418.72,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2380.44
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2648.66,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4013.12,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2702.16,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3745.57,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3983.69,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3836.54,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 294.79
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3478.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3344.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2835.93,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3344.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 399.48
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3745.57,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3380.42,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 3",
			"code_information": [
				{
					"code": "0493",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15618.45,
					"maximum": 18429.77,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15618.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16711.74,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15618.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15618.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 18429.77,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15618.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15618.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15618.45,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "Apresoline Injection",
			"drug_information": {
				"unit": 1.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "63323061401",
					"type": "NDC"
				},
				{
					"code": "J0360",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 20.24,
							"10th_percentile": 20.24,
							"90th_percentile": 20.24,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARTICULAR INSERT 9MM SZ3-4",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASSAY OF PARATHORMONE",
			"code_information": [
				{
					"code": "83970",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 206.4,
					"discounted_cash": 41.0,
					"minimum": 39.98,
					"maximum": 227.04,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 111.58
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.75,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 206.4
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 206.4
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 115.79,
							"10th_percentile": 115.79,
							"90th_percentile": 163.47,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 87.11
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.87,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.98
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.92,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.69,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 42.78
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.66,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.6,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.98
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.98
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.76,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.6,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.98
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.79,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.16,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.98
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.15
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.15
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.98
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.54,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.38,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC",
			"code_information": [
				{
					"code": "096",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 25967.0,
					"minimum": 15738.4448,
					"maximum": 47988.2172,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 37282.8
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25835.44
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24674.66,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25173.14,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 33757.95,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 36354.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 47988.22,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 38665.83,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 37237.61,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33757.95,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32459.56,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 41548.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26419.33,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32459.56,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 36354.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 41548.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 33116.42
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 23882.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34394.98,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 38435.88
						}
					]
				}
			]
		},
		{
			"description": "ASPERGILLUS AB LC 9",
			"code_information": [
				{
					"code": "86609",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 23.01,
					"discounted_cash": 12.0,
					"minimum": 6.903,
					"maximum": 161.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.01
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.46,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.01
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.01
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.01
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.75,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.01,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.18
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.06
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.05
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.27,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.46,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.97,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASSAY OF SALICYLATE - 80329 - 450G6038",
			"code_information": [
				{
					"code": "80329",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 377.62,
					"minimum": 1.0,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 124.78
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.81
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 534.72,
							"10th_percentile": 534.72,
							"90th_percentile": 534.72,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.05
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.05
						}
					]
				}
			]
		},
		{
			"description": "BALL NOSE GUIDE WIRE 3MMX100CM",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Aspiration bladder insert supr - 51102 - 4504010172",
			"code_information": [
				{
					"code": "51102",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8068.3,
					"discounted_cash": 2675.0,
					"minimum": 275.5,
					"maximum": 8857.75,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3418.72,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2380.44
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2648.66,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4013.12,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2702.16,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3745.57,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3983.69,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3836.54,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 294.79
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3478.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3344.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2835.93,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3344.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 399.48
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3745.57,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3380.42,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 275.5
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2675.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3210.49,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3524.45,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY AORTIC PERC",
			"code_information": [
				{
					"code": "0236T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 14775.0,
					"minimum": 3308.0,
					"maximum": 35791.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASSAY OF ACETAMINOPHEN - 80329 - 450G6039",
			"code_information": [
				{
					"code": "80329",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 629.37,
					"minimum": 1.0,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 124.78
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.81
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 534.72,
							"10th_percentile": 534.72,
							"90th_percentile": 534.72,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.05
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.05
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY ILIAC PERC W/S&I",
			"code_information": [
				{
					"code": "0238T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48061.2,
					"discounted_cash": 23462.0,
					"minimum": 3308.0,
					"maximum": 48061.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29980.44,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23227.39,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35193.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23696.63,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32846.81,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34934.93,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33644.52,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30500.61,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29327.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24869.73,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29327.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32846.81,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29644.63,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28154.41,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30907.68,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARSENAL LOCKING SCREW 2.7X14MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA - SOI : 3",
			"code_information": [
				{
					"code": "1413",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6672.27,
					"maximum": 7873.28,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6672.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7139.33,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6672.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6672.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7873.28,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6672.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6672.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6672.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUD COMPR AUTOMETRY EVAL SPCH",
			"code_information": [
				{
					"code": "0212T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 408.96,
					"discounted_cash": 164.0,
					"minimum": 122.688,
					"maximum": 408.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 210.43,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 141.71
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 247.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 166.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 245.21,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.15,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 214.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 174.56,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 205.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 230.55,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 208.08,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 197.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 216.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON ANGIO SCULPT PTA 4X200",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARSENIC BL LC 9",
			"code_information": [
				{
					"code": "82175",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 62.6,
					"discounted_cash": 18.0,
					"minimum": 18.78,
					"maximum": 62.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.3
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.24,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.6
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.6
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.04
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.78,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.46,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.16,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.56,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.25
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.66,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.11,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.06
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.56,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.97,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.35
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.97,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.76,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.99,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY BRACHIOCEPHA PERC",
			"code_information": [
				{
					"code": "0237T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 14775.0,
					"minimum": 3308.0,
					"maximum": 35791.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUD PURE TONE AUDIOMETRY AUTO - 0208T - 4390208T",
			"code_information": [
				{
					"code": "0208T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 47.0,
					"minimum": 30.975,
					"maximum": 103.25,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Arthrd si jt perq/min nvas",
			"code_information": [
				{
					"code": "27279",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4548.75,
					"discounted_cash": 22440.0,
					"minimum": 486.6,
					"maximum": 4548.75,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.6
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 520.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.6
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.6
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 705.57
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.6
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.6
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 486.6
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4548.75,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY RENAL OPEN/PERC",
			"code_information": [
				{
					"code": "0234T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 14775.0,
					"minimum": 3308.0,
					"maximum": 35791.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUD SPCH AUDIOMENTRY THRSHLD",
			"code_information": [
				{
					"code": "0210T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 47.0,
					"minimum": 30.975,
					"maximum": 103.25,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON CORONARY NC 2.5X8MM",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ATHEROSCLEROSIS WITHOUT MCC",
			"code_information": [
				{
					"code": "303",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 7006.0,
					"minimum": 6388.44,
					"maximum": 31074.776,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10457.6
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7717.17
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6666.47,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6801.15,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9108.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9808.75,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 7006.25,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12947.55,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10432.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 10046.96,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9108.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8757.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11210.0,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7137.84,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 7006.25,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8757.81,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7006.25,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 9808.75,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11210.0,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 9998.59
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7006.25,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 6388.44
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6733.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9292.66,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10781.03
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 2",
			"code_information": [
				{
					"code": "0082",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34562.44,
					"maximum": 40783.68,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34562.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 36981.81,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34562.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34562.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 40783.68,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34562.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34562.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34562.44,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT INTER LT",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 734.1,
					"discounted_cash": 392.0,
					"minimum": 54.46,
					"maximum": 1308.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Ativan Inj",
			"drug_information": {
				"unit": 1.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00409677802",
					"type": "NDC"
				},
				{
					"code": "J2060",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 4.92,
							"10th_percentile": 4.92,
							"90th_percentile": 4.92,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC",
			"code_information": [
				{
					"code": "016",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 59299.0,
					"minimum": 56330.703,
					"maximum": 109585.1618,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 93874.22
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 78635.87
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56330.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 57468.7,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 77089.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 83019.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 59299.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 109585.16,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 88296.7,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 85035.24,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 77089.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 74124.16,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 94878.93,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 60313.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 59299.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 74124.16,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 59299.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 83019.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 94878.93,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 93847.84
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 59299.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 61590.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56899.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 78521.59,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 96777.54
						}
					]
				}
			]
		},
		{
			"description": "BALLOON EXPANDABLE SHEATH18X25",
			"code_information": [
				{
					"code": "C1894",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 52.63,
							"10th_percentile": 52.63,
							"90th_percentile": 54.12,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 873.18,
							"10th_percentile": 873.18,
							"90th_percentile": 873.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 77.69,
							"10th_percentile": 66.69,
							"90th_percentile": 282.83,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT INTER RT - 20605 - 320051103",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 745.5,
					"discounted_cash": 392.0,
					"minimum": 54.46,
					"maximum": 1308.85,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUG FEM 5MM NXGN F KN DIST - C1776 - 278780674",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC",
			"code_information": [
				{
					"code": "017",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 54351.0,
					"minimum": 50793.7554,
					"maximum": 100440.7589,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 93874.22
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 50793.76
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 51631.17,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52674.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 70656.38,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 76091.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 54351.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 100440.76,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 80928.73,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 77939.42,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 70656.38,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 67938.83,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 86961.7,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 55281.86,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 54351.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 67938.83,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 54351.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 76091.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 86961.7,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 93847.84
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 54351.06,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 82152.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52152.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 71970.73,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 96777.54
						}
					]
				}
			]
		},
		{
			"description": "BARTONELLA ANTIBODY LC 2",
			"code_information": [
				{
					"code": "86611",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 33.59,
					"discounted_cash": 10.0,
					"minimum": 7.24,
					"maximum": 33.59,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.5
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.59
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.59
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.08,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.27,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.28,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.16
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.75
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.23,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.79,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.5
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.86,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT INTER RT - 20605 - 4504010171",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 745.5,
					"discounted_cash": 392.0,
					"minimum": 54.46,
					"maximum": 1308.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.97
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUG FEM 5MM NXGN F KN POST - C1776 - 278780708",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AVULSION NAIL PLATE EA ADDL",
			"code_information": [
				{
					"code": "11732",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 278.0,
					"minimum": 21.36,
					"maximum": 278.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3308",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 111.2,
							"10th_percentile": 111.2,
							"90th_percentile": 111.2,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 102.27
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.36
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.86
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.36
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.36
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.97
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.36
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.36
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.36
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE AUGMENTED SM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASP/INJ JT MAJ RT",
			"code_information": [
				{
					"code": "20610",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1155.0,
					"discounted_cash": 392.0,
					"minimum": 65.68,
					"maximum": 1223.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3308",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 462.0,
							"10th_percentile": 462.0,
							"90th_percentile": 462.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 502.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 304.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 388.93,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 589.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 396.79,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 584.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 563.36,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 510.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 416.43,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 491.08,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.24
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 550.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 496.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.68
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 471.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AXLE TIB OSS KN LFRIC INTFC",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE GLENOID SM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARTICULAR INSERT 13MM SZ 3-4",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 3",
			"code_information": [
				{
					"code": "0083",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 42705.07,
					"maximum": 50391.98,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 42705.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 45694.42,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 42705.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 42705.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 50391.98,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 42705.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 42705.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 42705.07,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR",
			"code_information": [
				{
					"code": "518",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 37488.0,
					"minimum": 23106.3104,
					"maximum": 69279.1915,
					"payers_information": [
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 37488.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 40406.6
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 49647.29,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 57464.62
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 55740.68
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 38929.62
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35616.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 36336.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 48735.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 52484.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 37488.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 69279.19,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 55820.73,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 53758.85,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 48735.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 46860.93,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 59981.98,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 38134.88,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 37488.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 46860.93,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 37488.74,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 52484.24,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 59981.98,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 55482.2
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35976.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE MODULAR 24MM ARTHREX",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ARTICULAR INSERT S&N",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "AV DIALYSIS SHUNT",
			"code_information": [
				{
					"code": "36901",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1837.71,
					"discounted_cash": 2014.0,
					"minimum": 518.24,
					"maximum": 4312.55,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1138.61
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.24
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 554.52
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.24
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.24
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 751.45
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.24
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.24
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.24
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1837.71,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIB REVISION SZ3 S&N",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Av fusion direct any site",
			"code_information": [
				{
					"code": "36821",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5458.5,
					"discounted_cash": 4041.0,
					"minimum": 623.2,
					"maximum": 5458.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 4779.01
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 623.2
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5458.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5458.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5458.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5458.5,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 666.82
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 623.2
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 623.2
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 903.64
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 623.2
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5458.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 623.2
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 623.2
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIBIAL SZ 4 RIGHT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASAHI GUIDEWIRE VASC 190CM .01",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON EUPHORA RX US",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASPLATE CMTD KNEE TIBIA SZ3 L",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASO SCR TITER LC 3",
			"code_information": [
				{
					"code": "86060",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 51.0,
					"discounted_cash": 7.0,
					"minimum": 7.227,
					"maximum": 51.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.73
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.33,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.9
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.4
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.41
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.23,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.45
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.95,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.37,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.87
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.97
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.49,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.13,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.45
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.45
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.74,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.13,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.8
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.45
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.22,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.45
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.41
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.41
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.45
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.76,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.62,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "520",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15170.0,
					"minimum": 9000.0,
					"maximum": 56600.344,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 22290.05
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15281.3
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14420.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14711.86,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 19722.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21239.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 15170.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28035.62,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 22589.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 21754.91,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19722.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18963.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24273.26,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15440.17,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 15170.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18963.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15170.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 21239.11,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24273.26,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 21748.94
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15170.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 21408.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 14566.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20101.36,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 22979.44
						}
					]
				}
			]
		},
		{
			"description": "BALLOON NCEUP2008X NCEUPHORA",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BCR/ABL1 GENE MINOR BP",
			"code_information": [
				{
					"code": "81207",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 477.97,
					"discounted_cash": 144.0,
					"minimum": 72.3,
					"maximum": 477.97,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 117.41
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 185.08,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.55
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.02
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.39,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.3
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.26,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 202.78,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.67
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.36
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 188.29,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 181.05,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.3
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.3
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 153.53,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 181.05,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.84
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.3
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 202.78,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 183.01,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.3
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 237.11
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 237.11
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.3
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.84,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 173.81,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 190.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATE PLEURA W/ IMAGING - 32555 - 45932555",
			"code_information": [
				{
					"code": "32555",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3350.56,
					"discounted_cash": 802.0,
					"minimum": 92.33,
					"maximum": 4893.5,
					"payers_information": [
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 133.88
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1014.43,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 963.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1057.65,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1025.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 814.43
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 794.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1204.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 810.89,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1195.46,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1151.3,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.79
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1043.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.33
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 851.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 1",
			"code_information": [
				{
					"code": "0491",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8313.3,
					"maximum": 9809.69,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.3,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8895.23,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.3,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.3,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9809.69,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.3,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.3,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.3,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALO ANGIOP CTR DIALYSIS SEG - 36907 - 45736907",
			"code_information": [
				{
					"code": "36907",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 22696.1,
					"minimum": 665.67,
					"maximum": 22696.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 712.27
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 965.22
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						}
					]
				}
			]
		},
		{
			"description": "BEAR MENISCAL OXFORD",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATE PLEURA W/O IMAGING",
			"code_information": [
				{
					"code": "32554",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2126.32,
					"discounted_cash": 802.0,
					"minimum": 74.09,
					"maximum": 3420.65,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1025.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 814.43
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 794.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.09
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1204.29,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 810.89,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1195.46,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1151.3,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 79.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1043.72,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.09
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.09
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 851.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1003.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 107.43
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.09
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1124.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1014.43,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.09
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.09
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 802.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 963.43,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1057.65,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 4",
			"code_information": [
				{
					"code": "0494",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25716.97,
					"maximum": 30346.02,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25716.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27517.16,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25716.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25716.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 30346.02,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25716.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25716.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 25716.97,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALO ANGIOP CTR DIALYSIS SEG - 36907 - 46336907",
			"code_information": [
				{
					"code": "36907",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 22696.1,
					"minimum": 665.67,
					"maximum": 22696.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 712.27
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 965.22
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						}
					]
				}
			]
		},
		{
			"description": "BEHAVIORAL DISORDERS - SOI : 1",
			"code_information": [
				{
					"code": "7581",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3371.12,
					"maximum": 3977.92,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3371.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3607.1,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3371.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3371.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3977.92,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3371.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3371.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3371.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASSAY OF LIPOPROTEIN A LC 1",
			"code_information": [
				{
					"code": "83695",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 47.26,
					"discounted_cash": 14.0,
					"minimum": 9.21,
					"maximum": 47.26,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.01
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.3,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.18,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.21
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.48,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.46,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.05,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.32
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.53
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.85
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.62,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.21
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.21
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.18,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.35
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.21
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.05,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.09,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.21
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.21
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.18,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.86,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC",
			"code_information": [
				{
					"code": "095",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 25967.0,
					"minimum": 24674.661,
					"maximum": 47988.2172,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27491.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24674.66,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25173.14,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 33757.95,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 36354.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 47988.22,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 38665.83,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 37237.61,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33757.95,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32459.56,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 41548.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26419.33,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32459.56,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 36354.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 41548.24,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 36223.41
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25967.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 31232.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34394.98,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 38435.88
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24923.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 37282.8
						}
					]
				}
			]
		},
		{
			"description": "BAR 10.5MMX350MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Benadryl Injection",
			"drug_information": {
				"unit": 1.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00641037625",
					"type": "NDC"
				},
				{
					"code": "J1200",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 4.0,
							"10th_percentile": 4.0,
							"90th_percentile": 4.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 3.21,
							"10th_percentile": 1.41,
							"90th_percentile": 5.17,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ASSAY OF SALICYLATE - G0480 - 450G6038",
			"code_information": [
				{
					"code": "G0480",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 377.62,
					"discounted_cash": 114.0,
					"minimum": 63.95,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 63.95,
							"10th_percentile": 63.95,
							"90th_percentile": 251.75,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 377.62
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 377.62
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 119.11
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 113.29,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.65,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 115.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.09
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.04,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 121.3,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.04,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.73
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.58,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.93
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.93
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.32,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.74,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIUM AB NOT SPECIF LC 4",
			"code_information": [
				{
					"code": "86609",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 161.5,
					"discounted_cash": 12.0,
					"minimum": 6.903,
					"maximum": 161.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.83
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.46,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 82.81
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 69.56
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.19
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.75,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.32,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.01,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.18
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.06
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.74,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.05
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.27,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.88,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.46,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.97,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BAR 600MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC",
			"code_information": [
				{
					"code": "726",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 7491.0,
					"minimum": 4777.23,
					"maximum": 29242.788,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11577.39
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8733.64
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7127.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7271.54,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9739.24,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 10488.41,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 7491.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13844.7,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11155.17,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 10743.13,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9739.24,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9364.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11986.75,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7631.51,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 7491.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9364.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7491.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 10488.41,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11986.75,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7491.72,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 4777.23
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7199.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9935.37,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11935.45
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA - SOI : 1",
			"code_information": [
				{
					"code": "1411",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3243.91,
					"maximum": 3827.81,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3243.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3470.98,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3243.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3243.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3827.81,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3243.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3243.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3243.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BAG FECAL INCONTINENCE",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 3.0,
							"10th_percentile": 3.0,
							"90th_percentile": 3.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASE TIBIA SZ 2 LT LGN REV",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BETA-2-MICROGLB LC",
			"code_information": [
				{
					"code": "82232",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 88.99,
					"discounted_cash": 16.0,
					"minimum": 16.017,
					"maximum": 88.99,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.73
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.68,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 88.99
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 87.37
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.14
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.02,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.27,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.34,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.23,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.15,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.23,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.93
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.49
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.49
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.42,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.31,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA - SOI : 4",
			"code_information": [
				{
					"code": "1414",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11195.72,
					"maximum": 13210.95,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11195.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11979.42,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11195.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11195.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13210.95,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11195.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11195.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11195.72,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE GLENOID 24MM 15DEG",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY ILIAC OPEN W/S&I",
			"code_information": [
				{
					"code": "0238T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48061.2,
					"discounted_cash": 23462.0,
					"minimum": 3308.0,
					"maximum": 48061.2,
					"payers_information": [
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29644.63,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28154.41,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30907.68,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29980.44,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23227.39,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35193.02,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23696.63,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32846.81,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34934.93,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33644.52,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30500.61,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29327.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24869.73,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29327.51,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23462.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32846.81,
							"additional_payer_notes": "140.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIBIAL SZ5 RT LEGION",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY RENAL PERC",
			"code_information": [
				{
					"code": "0234T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 31531.4,
					"discounted_cash": 14775.0,
					"minimum": 3308.0,
					"maximum": 35791.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON COLLAPSIBLE SYST 19X35",
			"code_information": [
				{
					"code": "C1894",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 52.63,
							"10th_percentile": 52.63,
							"90th_percentile": 54.12,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 873.18,
							"10th_percentile": 873.18,
							"90th_percentile": 873.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 77.69,
							"10th_percentile": 66.69,
							"90th_percentile": 282.83,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLT TIB GEN II L SZ3 11MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC",
			"code_information": [
				{
					"code": "462",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 26771.0,
					"minimum": 9900.0,
					"maximum": 52455.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 44539.67
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35820.82
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25438.05,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25951.95,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 34802.91,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 37480.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 26771.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 49473.68,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 39862.72,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 38390.29,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34802.91,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 33464.34,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 42834.35,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27236.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 26771.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 33464.34,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26771.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 37480.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 42834.35,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 43244.15
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 26771.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 29137.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25695.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35459.1,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 45917.18
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY SINGLE VESSEL",
			"code_information": [
				{
					"code": "92924",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 31531.4,
					"discounted_cash": 14775.0,
					"minimum": 517.26,
					"maximum": 48762.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18879.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14345.51
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14627.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.26
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22162.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14922.75,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21999.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21187.35,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 553.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19207.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.26
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.26
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15661.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18468.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 750.03
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.26
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20685.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18668.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.26
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 517.26
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14775.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17730.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19463.85,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON CORONARY NC 4.0X12MM",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASIC METABOLIC PANEL",
			"code_information": [
				{
					"code": "80048",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 589.0,
					"discounted_cash": 8.0,
					"minimum": 8.34,
					"maximum": 589.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.87
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.81,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 54.39
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.68
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 330.43,
							"10th_percentile": 330.43,
							"90th_percentile": 466.49,
							"count": "257"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.38,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.54,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.84,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 55.0,
							"median_amount": 330.43,
							"10th_percentile": 330.43,
							"90th_percentile": 330.43,
							"count": "1 through 10"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 306.29,
							"10th_percentile": 104.66,
							"90th_percentile": 312.76,
							"count": "13"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.6
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.13
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.09
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.84,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.69,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.46,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.15,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.14,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOIMPEDANCE CV ANALYSIS",
			"code_information": [
				{
					"code": "93701",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1318.05,
					"discounted_cash": 170.0,
					"minimum": 44.52,
					"maximum": 1318.05,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.06
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 109.25
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.52
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON EXPANDABLE SHEATH14X25",
			"code_information": [
				{
					"code": "C1894",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 52.63,
							"10th_percentile": 52.63,
							"90th_percentile": 54.12,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 873.18,
							"10th_percentile": 873.18,
							"90th_percentile": 873.18,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 77.69,
							"10th_percentile": 66.69,
							"90th_percentile": 282.83,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOINDUCTIVE IMP MESH LG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "ATRICULAR INSERT 9MM S&N",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON OTW SPRINTER 1.5X15",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BC SWIVELOCK 3.9X17.9MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Biopsy of Intestine by Capsule",
			"code_information": [
				{
					"code": "44100",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3428.25,
					"discounted_cash": 1160.0,
					"minimum": 160.21,
					"maximum": 3428.25,
					"payers_information": [
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1230.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 232.3
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.21
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1466.7,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.21
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.21
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1392.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1529.19,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1483.32,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1473.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1149.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.21
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1741.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1172.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1625.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1728.45,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1664.6,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1509.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1451.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.21
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.21
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1160.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALLOON SPR LEG RX US M",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BCR/ABL1 GENE MAJOR BP",
			"code_information": [
				{
					"code": "81206",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 541.07,
					"discounted_cash": 163.0,
					"minimum": 86.7,
					"maximum": 541.07,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 131.96
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 209.51,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.55
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 218.02
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 162.32,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 245.94,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 165.6,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 229.54,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 235.12
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.77
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.15,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.95,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 173.8,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.95,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 125.72
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 229.54,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.17,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 268.43
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 268.43
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 86.7
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 163.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 196.75,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.99,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY OF SALIVARY GLAND",
			"code_information": [
				{
					"code": "42400",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3139.85,
					"discounted_cash": 906.0,
					"minimum": 72.09,
					"maximum": 3139.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1158.11,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 949.65
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 897.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.09
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1359.47,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 915.37,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1268.83,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1349.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1299.65,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.2,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1132.89,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.09
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.09
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 960.69,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1132.89,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.53
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.09
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1268.83,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1145.14,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.09
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.09
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1087.57,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1193.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUD SPCH AUDIOMENTRY AUTO REC",
			"code_information": [
				{
					"code": "0211T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 47.0,
					"minimum": 30.975,
					"maximum": 103.25,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.32
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BALO ANGIOP CTR DIALYSIS SEG - 36907 - 44236907",
			"code_information": [
				{
					"code": "36907",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 22696.1,
					"minimum": 665.67,
					"maximum": 22696.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 712.27
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 965.22
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 665.67
						}
					]
				}
			]
		},
		{
			"description": "BEARING TIBIAL VNGRD 14X71/75",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY OF THYROID",
			"code_information": [
				{
					"code": "60100",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2896.7,
					"discounted_cash": 906.0,
					"minimum": 76.37,
					"maximum": 2896.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1158.11,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 532.6
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 897.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.37
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1359.47,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 915.37,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1268.83,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1349.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1299.65,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 81.72
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.2,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1132.89,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.37
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.37
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 960.69,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1132.89,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 110.74
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.37
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1268.83,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1145.14,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.37
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.37
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 906.31,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1087.57,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1193.93,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUG FEM 5MM NXGN F KN DIST - C1776 - 278780705",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BELT OSTOMY",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 3.0,
							"10th_percentile": 3.0,
							"90th_percentile": 3.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Biopsy/removal lymph nodes",
			"code_information": [
				{
					"code": "38525",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3639.0,
					"discounted_cash": 5011.0,
					"minimum": 212.0,
					"maximum": 3639.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2942.08
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.0
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 226.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.0
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.0
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 307.4
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.0
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.0
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.0
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3639.0,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE 24MM MONOBLOCK POST",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BENIGN PROSTATIC HYPERTROPHY WITH MCC",
			"code_information": [
				{
					"code": "725",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11950.0,
					"minimum": 8340.544,
					"maximum": 23563.8,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 19636.77
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14337.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11362.23,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11591.77,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 15535.7,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 16730.76,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 11950.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22084.6,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 17794.35,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 17137.07,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15535.7,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14938.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19120.86,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12165.62,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 11950.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14938.18,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 11950.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 16730.76,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 19120.86,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11950.54,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 17185.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11477.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15838.26,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 20244.09
						}
					]
				}
			]
		},
		{
			"description": "BIOPSYREMOVAL LYMPH NODES",
			"code_information": [
				{
					"code": "38500",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14182.3,
					"discounted_cash": 5011.0,
					"minimum": 137.77,
					"maximum": 14182.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6403.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2942.08
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4961.11,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7516.83,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5061.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7015.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7461.71,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7186.09,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 147.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6514.59,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6264.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5311.89,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6264.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 199.77
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7015.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6331.76,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6013.46,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6601.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 14182.3,
					"discounted_cash": 5011.0,
					"minimum": 137.77,
					"maximum": 14182.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6403.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 2942.08
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4961.11,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7516.83,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5061.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7015.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7461.71,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7186.09,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 147.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6514.59,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6264.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5311.89,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6264.03,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 199.77
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7015.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6331.76,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.77
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5011.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6013.46,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6601.53,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 1",
			"code_information": [
				{
					"code": "0081",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29173.95,
					"maximum": 34425.26,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29173.95,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 31216.13,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29173.95,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29173.95,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34425.26,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29173.95,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29173.95,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29173.95,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE GLENOID 024MM TAVSV",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BETA 2 MICROGLOBULIN LC 1",
			"code_information": [
				{
					"code": "82232",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 53.39,
					"discounted_cash": 16.0,
					"minimum": 16.017,
					"maximum": 88.99,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.49
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.49
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.42,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.31,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.73
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.68,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.39
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.39
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.14
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.02,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.27,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.34,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.09
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.23,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.15,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.23,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.93
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.5
						}
					]
				}
			]
		},
		{
			"description": "BIPAP PER DAY",
			"code_information": [
				{
					"code": "94660",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1947.0,
					"discounted_cash": 280.0,
					"minimum": 58.52,
					"maximum": 1947.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.12,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 333.93
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.44
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 277.46,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.52
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 420.39,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 283.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.36,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 417.31,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 401.89,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 364.34,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 350.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.52
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.52
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 297.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 350.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.85
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.52
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 392.36,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 354.11,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.52
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.52
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 280.26,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 336.31,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 369.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "AVULSION NAIL PLATE SINGLE - 11730 - 40111730",
			"code_information": [
				{
					"code": "11730",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1138.95,
					"discounted_cash": 256.0,
					"minimum": 45.93,
					"maximum": 1138.95,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3308",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 306.24,
							"10th_percentile": 306.24,
							"90th_percentile": 306.24,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 328.12,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 102.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 254.21,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 385.17,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.35,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 359.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 382.35,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 368.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.15
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 333.81,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 320.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 272.19,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 320.98,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.6
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 359.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.45,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.93
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 256.78,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 308.14,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 338.27,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE GLENOID REVERSE SM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIPOLAR DISORDERS - SOI : 2",
			"code_information": [
				{
					"code": "7532",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4274.32,
					"maximum": 5043.7,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4274.32,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4573.52,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4274.32,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4274.32,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5043.7,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4274.32,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4274.32,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4274.32,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 2",
			"code_information": [
				{
					"code": "0492",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11038.82,
					"maximum": 13025.81,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11038.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11811.54,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11038.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11038.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13025.81,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11038.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11038.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11038.82,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIB MOD OSS 71MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC",
			"code_information": [
				{
					"code": "410",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16103.0,
					"minimum": 14850.0,
					"maximum": 31309.444,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 24123.71
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18958.86
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15306.79,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15616.01,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 20935.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 22545.52,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 16103.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 29760.08,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23978.77,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 23093.05,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 20935.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20129.93,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 25766.3,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16389.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 16103.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20129.93,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16103.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 22545.52,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 25766.3,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 23780.26
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 16103.94,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 25417.7
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 15461.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21336.73,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 24869.8
						}
					]
				}
			]
		},
		{
			"description": "BLEPHAROT EYELID DRAIN ABSC BI",
			"code_information": [
				{
					"code": "67700",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2081.4,
					"discounted_cash": 406.0,
					"minimum": 178.9,
					"maximum": 2081.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 519.09,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 361.3
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 402.17,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 609.35,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 410.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 568.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 604.88,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 582.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 191.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 528.1,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 507.79,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 430.6,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 507.79,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.41
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 568.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 513.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 487.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 535.15,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "094",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 35321.0,
					"minimum": 33557.832,
					"maximum": 71224.696,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 56746.94
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 40942.0
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33557.83,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34235.77,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 45917.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 49449.41,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 35321.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 65273.23,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 52592.98,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 50650.33,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 45917.31,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 44151.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 56513.62,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35930.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 35321.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 44151.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35321.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 49449.41,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 56513.62,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 55040.08
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35321.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 40461.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33896.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 46777.58,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 58502.0
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIB UNIVRS SZ3 TRI",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BILIRUBIN TOTAL",
			"code_information": [
				{
					"code": "82247",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 149.0,
					"discounted_cash": 5.0,
					"minimum": 4.69,
					"maximum": 149.0,
					"payers_information": [
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.34,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.69
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.69
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.56
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.41,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.15
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 83.59,
							"10th_percentile": 83.59,
							"90th_percentile": 83.59,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.69
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.69
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.69
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.8
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.69
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Bactrim",
			"drug_information": {
				"unit": 10.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00703951403",
					"type": "NDC"
				},
				{
					"code": "J3490",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 4.0,
							"10th_percentile": 4.0,
							"90th_percentile": 5.7,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 0.97,
							"10th_percentile": 0.97,
							"90th_percentile": 7.99,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 4.74,
							"10th_percentile": 1.41,
							"90th_percentile": 8.29,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIBIAL UNIVERSAL #4",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BILIRUBIN TOTAL TRANSCUTANEOUS",
			"code_information": [
				{
					"code": "88720",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 56.16,
					"discounted_cash": 5.0,
					"minimum": 4.3,
					"maximum": 56.16,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.56
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.41,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.19
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.04
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.3
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.6
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.3
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.3
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.24
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.3
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.34,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.3
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.3
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOCK UNICORTICAL 10MM - C1713 - 44700508",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE TIBIAL UNIVERSAL #7",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOMONITOR III RECORDER 450218",
			"code_information": [
				{
					"code": "C1764",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 17515.68,
							"10th_percentile": 17515.68,
							"90th_percentile": 17515.68,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 14945.84,
							"10th_percentile": 14945.84,
							"90th_percentile": 14945.84,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Blood Alcohol - 80320 - 82055",
			"code_information": [
				{
					"code": "80320",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 105.7,
					"minimum": 1.0,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.63
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.97
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 334.2,
							"10th_percentile": 327.28,
							"90th_percentile": 334.2,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.22
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.22
						}
					]
				}
			]
		},
		{
			"description": "BALLOON CORONARY NC 2.5X12MM",
			"code_information": [
				{
					"code": "C1725",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 508.5,
							"10th_percentile": 508.5,
							"90th_percentile": 2057.16,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLT TIB REV SZ2 RT LEGION",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "479",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18801.0,
					"minimum": 14850.0,
					"maximum": 36657.508,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 27618.39
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20353.36
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17869.2,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18230.2,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 24442.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 26322.67,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 18801.91,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34745.93,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27996.04,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 26961.94,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24442.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23502.39,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30083.06,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19132.68,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 18801.91,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 23502.39,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 18801.91,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 26322.67,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30083.06,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 28319.96
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18801.91,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 20536.2
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18049.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24908.59,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 28472.57
						}
					]
				}
			]
		},
		{
			"description": "BLOOD COUNT MANUAL DIFF WBC",
			"code_information": [
				{
					"code": "85007",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 114.2,
					"discounted_cash": 3.0,
					"minimum": 3.11,
					"maximum": 114.2,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.7,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.84,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 54.08,
							"10th_percentile": 54.08,
							"90th_percentile": 54.08,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.33
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.94,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.11
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.11
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.03,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.75,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.51
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.11
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.8,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.11
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.11
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.56,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.01,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.29
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.86,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.11
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 64.07,
							"10th_percentile": 64.07,
							"90th_percentile": 90.45,
							"count": "17"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.26
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.76,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.11
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BAR 500MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BC KNOTLESS SWIVELOCK 4.75MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOTRAK MINI SCREW 20MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TRANSFUSION SERVICE - 36430 - 44036430",
			"code_information": [
				{
					"code": "36430",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1940.2,
					"discounted_cash": 564.0,
					"minimum": 399.22,
					"maximum": 2505.91,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 721.51,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1405.82,
							"10th_percentile": 1405.82,
							"90th_percentile": 1405.82,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 399.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 558.99,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 846.96,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 570.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 790.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 840.75,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 809.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 734.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 705.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 598.52,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 705.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 790.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 713.43,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1464.18,
							"10th_percentile": 1464.18,
							"90th_percentile": 1964.87,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 677.57,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 743.83,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BARD GRAFT EVAS 9MM 9FR FLN+",
			"code_information": [
				{
					"code": "C1874",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 6255.6,
							"10th_percentile": 6255.6,
							"90th_percentile": 6255.6,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 6825.0,
							"10th_percentile": 2275.0,
							"90th_percentile": 14105.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 1050.81,
							"10th_percentile": 1050.81,
							"90th_percentile": 1836.22,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BEARING LATERAL/MEDIAL XP LT",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLD COUNT RBC AUTO LC 2",
			"code_information": [
				{
					"code": "85041",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4.38,
					"discounted_cash": 3.0,
					"minimum": 1.314,
					"maximum": 4.38,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.86,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.99,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.05,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.33
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.27
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.93,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.2,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.82,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TYPING PATIENT SERUM; Ag",
			"code_information": [
				{
					"code": "86904",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 34.5,
					"discounted_cash": 75.0,
					"minimum": 7.85,
					"maximum": 108.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.7
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.85
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.4
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.85
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.85
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.38
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.85
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.85
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.16
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.16
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.85
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.5,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BARTONELLA ANTIBODY LC 1",
			"code_information": [
				{
					"code": "86611",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 24.5,
					"discounted_cash": 10.0,
					"minimum": 7.24,
					"maximum": 33.59,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.5
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.01,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.08,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.27,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.28,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.16
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.6
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.75
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.23,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.79,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.5
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.86,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BEARING TIB AS VANUARD 14X63MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLEPHAROT EYELID DRAIN ABSC LT",
			"code_information": [
				{
					"code": "67700",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1342.45,
					"discounted_cash": 406.0,
					"minimum": 178.9,
					"maximum": 2081.4,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 568.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 513.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 487.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 535.15,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 519.09,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 361.3
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 402.17,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 609.35,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 410.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 568.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 604.88,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 582.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 191.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 528.1,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 507.79,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 430.6,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 507.79,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.41
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TYPING RH PHENOTYPE",
			"code_information": [
				{
					"code": "86906",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 105.84,
					"discounted_cash": 47.0,
					"minimum": 5.98,
					"maximum": 141.9,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.95
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.8
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.83
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.98
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.4
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.98
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.98
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.98
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.98
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.18
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.18
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.98
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BASEPLATE GLENOID W/SCRW 24MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BEARING TIBIAL LIPPED CR 14MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLOCK UNICORTICAL 10MM - C1713 - 2787578001",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BASPLATE CMTD KNEE TIBIA SZ5 L",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BEARING TIBIAL POLY OSS 16MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD ALCOHOL - 80320 - 45080320",
			"code_information": [
				{
					"code": "80320",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 629.37,
					"minimum": 1.0,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.63
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.97
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 334.2,
							"10th_percentile": 327.28,
							"90th_percentile": 334.2,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.22
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.22
						}
					]
				}
			]
		},
		{
			"description": "BODY FLUID CELL COUNT W/DIFF",
			"code_information": [
				{
					"code": "89051",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 160.79,
					"discounted_cash": 5.0,
					"minimum": 1.39,
					"maximum": 160.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.89
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.16,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.43
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.76
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 90.2,
							"10th_percentile": 90.2,
							"90th_percentile": 90.2,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.62
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.39
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.4,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.66,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.84,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.34
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.03
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.49
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.28,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.39
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.39
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.94,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.02
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.39
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.84,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.08,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.39
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.36
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.36
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.39
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.72,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.38,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BEARING 36MM SHOULDER SYSTEM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BEHAVIORAL DISORDERS - SOI : 4",
			"code_information": [
				{
					"code": "7584",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22778.37,
					"maximum": 26878.48,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22778.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24372.86,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22778.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22778.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 26878.48,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22778.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22778.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22778.37,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD COUNT AUTO DIFF WBC",
			"code_information": [
				{
					"code": "85004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 63.28,
					"discounted_cash": 6.0,
					"minimum": 4.14,
					"maximum": 63.28,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.49
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.27,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.54
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.89
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.66
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.41,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.14
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.63
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.41,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.09,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.14
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.14
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.86,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.09,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.0
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.14
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.06,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.17,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.14
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.14
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.47,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.76,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BODY TOP LOADING NXG",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BEHAVIORAL AND DEVELOPMENTAL DISORDERS",
			"code_information": [
				{
					"code": "886",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20954.0,
					"minimum": 5869.6,
					"maximum": 38724.3041,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 27940.33
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 15368.1
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19913.75,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20316.05,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 27241.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 29336.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 20954.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 38724.3,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 31201.56,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 30049.05,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27241.12,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26193.39,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33527.54,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21321.79,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 20954.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26193.39,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20954.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 29336.59,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 33527.54,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20954.71,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 15053.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20114.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 27758.56,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 28804.46
						}
					]
				}
			]
		},
		{
			"description": "Bentyl Capsule",
			"drug_information": {
				"unit": 10.0,
				"type": "ME"
			},
			"code_information": [
				{
					"code": "51079011820",
					"type": "NDC"
				},
				{
					"code": "J0500",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 8.0,
							"10th_percentile": 8.0,
							"90th_percentile": 70.86,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD GASES O2 SAT DIR MSRMNT",
			"code_information": [
				{
					"code": "82810",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 364.0,
					"discounted_cash": 9.0,
					"minimum": 8.97,
					"maximum": 364.0,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.34,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.83
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.83
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.72,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.59
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.07
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.1
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.42
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.67,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.66,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.87,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.55
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.6
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.7,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.36,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.21,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.01
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.97
						}
					]
				}
			]
		},
		{
			"description": "BEHAVIORAL DISORDERS - SOI : 2",
			"code_information": [
				{
					"code": "7582",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4174.67,
					"maximum": 4926.11,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4174.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4466.9,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4174.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4174.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4926.11,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4174.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4174.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4174.67,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TYPING ABO",
			"code_information": [
				{
					"code": "86900",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 279.7,
					"discounted_cash": 170.0,
					"minimum": 2.73,
					"maximum": 279.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.07
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.17
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 156.92,
							"10th_percentile": 156.91,
							"90th_percentile": 221.52,
							"count": "30"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 141.47,
							"10th_percentile": 141.47,
							"90th_percentile": 141.47,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.96
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE CMNT SIMPLX W/TOBRAMYCIN",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BEHAVIORAL DISORDERS - SOI : 3",
			"code_information": [
				{
					"code": "7583",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6793.12,
					"maximum": 8015.88,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6793.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7268.64,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6793.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6793.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8015.88,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6793.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6793.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6793.12,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC",
			"code_information": [
				{
					"code": "461",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 55253.0,
					"minimum": 31950.0,
					"maximum": 108913.56,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 95441.92
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 61431.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 52488.12,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53548.48,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 71829.38,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 77354.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 55253.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 102108.23,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 82272.27,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 79233.33,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 71829.38,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 69066.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 88405.39,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 56199.4,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 55253.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 69066.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 55253.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 77354.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 88405.39,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 103594.22
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 55253.37,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 83524.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 53018.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 73165.25,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 98393.74
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TYPING RH (D)",
			"code_information": [
				{
					"code": "86901",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 198.0,
					"discounted_cash": 47.0,
					"minimum": 2.82,
					"maximum": 198.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.07
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.5
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.02
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 111.08,
							"10th_percentile": 111.08,
							"90th_percentile": 156.82,
							"count": "32"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.82
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 100.15,
							"10th_percentile": 100.15,
							"90th_percentile": 100.15,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.02
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.82
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.82
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.09
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.82
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.82
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.82
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE DISEASES AND ARTHROPATHIES WITHOUT MCC",
			"code_information": [
				{
					"code": "554",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8567.0,
					"minimum": 6820.07,
					"maximum": 26065.896,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 12980.24
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8990.61
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8148.89,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8313.51,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 11137.27,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11993.98,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 8567.13,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15832.06,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12756.46,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 12285.26,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11137.27,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10708.91,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13707.41,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8725.07,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 8567.13,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10708.91,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8567.13,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 11993.98,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13707.41,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 12485.7
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8567.13,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 6820.07
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 8231.2,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 11359.06,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 13381.69
						}
					]
				}
			]
		},
		{
			"description": "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC",
			"code_information": [
				{
					"code": "408",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 35780.0,
					"minimum": 33750.0,
					"maximum": 71516.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 54454.48
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 40699.88
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33994.32,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34681.08,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 46514.81,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 50092.87,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 35780.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 66122.59,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 53277.34,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 51309.41,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 46514.81,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 44725.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 57248.99,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 36397.96,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 35780.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 44725.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 35780.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 50092.87,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 57248.99,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 56551.79
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35780.62,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 71516.3
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34337.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 47386.03,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 56138.64
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TYPING;ABO",
			"code_information": [
				{
					"code": "86900",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 279.7,
					"discounted_cash": 170.0,
					"minimum": 2.73,
					"maximum": 279.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.07
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.17
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.1
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 156.92,
							"10th_percentile": 156.91,
							"90th_percentile": 221.52,
							"count": "30"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.81
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.58,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 255.42,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.98,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 141.47,
							"10th_percentile": 141.47,
							"90th_percentile": 141.47,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.55,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 244.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 221.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 212.85,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.96
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 238.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 215.15,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.08
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.73
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 204.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 224.32,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE PUTTY OSTEO SELECT 5.0CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BILIRUBIN DIRECT",
			"code_information": [
				{
					"code": "82248",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 96.0,
					"discounted_cash": 5.0,
					"minimum": 4.9698,
					"maximum": 96.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.56
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.41,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.15
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 53.86,
							"10th_percentile": 53.86,
							"90th_percentile": 53.86,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.34
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.34,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE MARROW SMEAR INTERP LC 1",
			"code_information": [
				{
					"code": "85097",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2270.8,
					"discounted_cash": 1031.0,
					"minimum": 44.17,
					"maximum": 2270.8,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 91.55
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1317.63,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.71
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.12
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.27
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1020.84,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1546.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1041.46,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1443.61,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1535.38,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1478.67,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1340.5,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1288.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1093.02,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1288.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1443.61,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1302.87,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.17
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.17
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1031.15,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1237.38,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1358.39,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONESYNC 5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BONE SUBSTITUTE MATERIAL 5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 3",
			"code_information": [
				{
					"code": "1323",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7546.85,
					"maximum": 8905.28,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7546.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8075.13,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7546.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7546.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8905.28,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7546.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7546.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7546.85,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY OF CERVIX",
			"code_information": [
				{
					"code": "57500",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 14182.3,
					"discounted_cash": 1178.0,
					"minimum": 58.15,
					"maximum": 14182.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1506.33,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 786.66
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1167.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1768.23,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.61,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1650.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1755.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1690.43,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.22
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1532.47,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1473.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1249.55,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1473.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.32
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1650.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1489.46,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1414.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1552.92,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 14182.3,
					"discounted_cash": 1178.0,
					"minimum": 58.15,
					"maximum": 14182.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1167.03,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1768.23,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1190.61,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1650.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1755.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1690.43,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.22
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1532.47,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1473.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1249.55,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1473.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 84.32
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1650.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1489.46,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 58.15
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1414.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1552.92,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1506.33,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1178.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 786.66
						}
					]
				}
			]
		},
		{
			"description": "BONE VOID FILLER 10CC INTERSEP",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRACE LIGAMENT INTERNAL ARTHRX",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC",
			"code_information": [
				{
					"code": "409",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21969.0,
					"minimum": 20700.0,
					"maximum": 42936.356,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 32606.12
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27339.59
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20877.42,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21299.18,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 28560.27,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30757.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 21969.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 40599.53,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32712.5,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 31504.18,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28560.27,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27461.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 35151.1,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 22353.6,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 21969.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27461.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21969.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 30757.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 35151.1,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 29737.47
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21969.44,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 33221.1
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21088.3,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 29101.85,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 33614.56
						}
					]
				}
			]
		},
		{
			"description": "BIOTRNIK STENT PAPYRUS ALL SIZ",
			"code_information": [
				{
					"code": "C1874",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 6255.6,
							"10th_percentile": 6255.6,
							"90th_percentile": 6255.6,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 6825.0,
							"10th_percentile": 2275.0,
							"90th_percentile": 14105.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 1050.81,
							"10th_percentile": 1050.81,
							"90th_percentile": 1836.22,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BONE VOID FILLER OSTEO INJECT",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "585",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 19500.0,
					"minimum": 9900.0,
					"maximum": 38164.116,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 30873.56
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19384.86
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18532.4,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18906.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 25350.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 27300.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 19500.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 36036.52,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 29035.92,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 27963.4,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 25350.36,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 24375.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 31200.45,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19842.78,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 19500.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 24375.35,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19500.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 27300.39,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 31200.45,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 25585.2
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 19500.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 37089.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 18719.6,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25833.05,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 31828.41
						}
					]
				}
			]
		},
		{
			"description": "BILIRUBIN DIRECT LC1",
			"code_information": [
				{
					"code": "82248",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16.57,
					"discounted_cash": 5.0,
					"minimum": 4.9698,
					"maximum": 96.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.56
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.41,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 53.86,
							"10th_percentile": 53.86,
							"90th_percentile": 53.86,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.58
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.53,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.07,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.2
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.53,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.32,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.34
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.03,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.34,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.02,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.61,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIPOLAR DISORDERS - SOI : 4",
			"code_information": [
				{
					"code": "7534",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13656.21,
					"maximum": 16114.33,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14612.14,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16114.33,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13656.21,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BORDETELLA AB LC 1",
			"code_information": [
				{
					"code": "86615",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16.49,
					"discounted_cash": 13.0,
					"minimum": 4.947,
					"maximum": 16.49,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.45
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.83,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.06,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.45
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.32,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.45
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.45
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.98,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.45
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.49,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.45
						}
					]
				}
			]
		},
		{
			"description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 4",
			"code_information": [
				{
					"code": "3634",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 27154.46,
					"maximum": 32042.26,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27154.46,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 29055.27,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27154.46,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27154.46,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32042.26,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27154.46,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27154.46,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 27154.46,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLD TYP AG TSTG RGNT SERUM - 86902 - 45086902",
			"code_information": [
				{
					"code": "86902",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 83.65,
					"discounted_cash": 458.0,
					"minimum": 2.62,
					"maximum": 920.05,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.33
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.47
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.65,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLEPHAROT EYELID DRAIN ABSC RT",
			"code_information": [
				{
					"code": "67700",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1041.2,
					"discounted_cash": 406.0,
					"minimum": 178.9,
					"maximum": 2081.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 519.09,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 361.3
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 402.17,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 609.35,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 410.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 568.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 604.88,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 582.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 191.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 528.1,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 507.79,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 430.6,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 507.79,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 259.41
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 568.72,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 513.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 178.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 406.23,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 487.48,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 535.15,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 1",
			"code_information": [
				{
					"code": "1321",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3163.34,
					"maximum": 3732.74,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3163.34,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3384.77,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3163.34,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3163.34,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3732.74,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3163.34,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3163.34,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3163.34,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHITIS AND ASTHMA WITH CCMCC",
			"code_information": [
				{
					"code": "202",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9970.0,
					"minimum": 8969.57,
					"maximum": 36107.32,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 15034.74
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10827.11
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9482.02,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9673.58,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 12962.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 13959.16,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 9970.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18426.09,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14846.57,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 14298.17,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12962.08,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12463.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15953.33,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 10152.47,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 9970.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 12463.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 9970.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 13959.16,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 15953.33,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 14547.4
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9970.83,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 8969.57
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9577.8,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13217.36,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 15499.74
						}
					]
				}
			]
		},
		{
			"description": "BIOINDUCTIVE ROTATOR 1 MED",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD ALCOHOL - G0480 - 45080320",
			"code_information": [
				{
					"code": "G0480",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 629.37,
					"discounted_cash": 114.0,
					"minimum": 63.95,
					"maximum": 629.37,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 63.95,
							"10th_percentile": 63.95,
							"90th_percentile": 251.75,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 146.22,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 509.72
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 428.16
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 119.11
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 113.29,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 171.65,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 115.57,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 170.39
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 164.09
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 148.76,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.04,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 121.3,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 143.04,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 92.73
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.2,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 144.58,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.93
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.93
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 63.95
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 137.32,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.74,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 4",
			"code_information": [
				{
					"code": "1324",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10990.06,
					"maximum": 12968.27,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10990.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11759.36,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10990.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10990.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12968.27,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10990.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10990.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10990.06,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC W/BX TRANSBRONCH SGL",
			"code_information": [
				{
					"code": "31628",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7849.71,
					"discounted_cash": 4771.0,
					"minimum": 302.26,
					"maximum": 7849.71,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6097.51,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4724.05,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 302.26
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7157.66,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4819.49,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6680.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7105.17,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6842.72,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 323.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6203.3,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5964.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 302.26
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 302.26
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5058.08,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5964.71,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 438.28
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 302.26
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6680.48,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6029.21,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 302.26
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 302.26
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4771.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5726.12,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6286.09,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",
			"code_information": [
				{
					"code": "478",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24773.0,
					"minimum": 23400.0,
					"maximum": 48495.424,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 36371.42
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 26463.6
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23540.91,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24016.49,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 32206.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34683.4,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 24773.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 45782.09,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 36888.28,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 35525.72,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 32206.02,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30967.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 39638.18,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 25205.42,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 24773.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 30967.33,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 24773.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 34683.4,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 39638.18,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 36215.82
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 24773.86,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 24440.4
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 23778.7,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 32814.61,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 37496.31
						}
					]
				}
			]
		},
		{
			"description": "BLOOD GAS PH PO2 &/OR PCO2",
			"code_information": [
				{
					"code": "82803",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 575.0,
					"discounted_cash": 26.0,
					"minimum": 13.6,
					"maximum": 575.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.3
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.31,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 124.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 104.45
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.83
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.81,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.11,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.33,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.82
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.38
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.55
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.89,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.63,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.72
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.94,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.88
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.07,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.28,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.34,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 2",
			"code_information": [
				{
					"code": "0562",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6725.27,
					"maximum": 7935.82,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6725.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7196.04,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6725.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6725.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7935.82,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6725.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6725.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6725.27,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC W/LAVAGE ALVEOLAR - 31624 - 47631624",
			"code_information": [
				{
					"code": "31624",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9884.64,
					"discounted_cash": 2278.0,
					"minimum": 306.0,
					"maximum": 9884.64,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2910.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2255.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3417.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2300.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3391.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3266.68,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2961.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2414.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 443.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2878.31,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2733.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3000.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",
			"code_information": [
				{
					"code": "477",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 34676.0,
					"minimum": 32945.616,
					"maximum": 68124.712,
					"payers_information": [
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 45924.19,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 55139.74
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 53485.55
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 37178.78
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 32945.62,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33611.18,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 45079.27,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 48546.9,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 34676.36,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 64081.91,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 51633.1,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 49725.9,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 45079.27,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 43345.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 55482.18,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 35275.1,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 34676.36,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 43345.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 34676.36,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 48546.9,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 55482.18,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 51185.59
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 34676.36,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 54773.9
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 33278.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD SMEAR W/O DIFFERENTIAL",
			"code_information": [
				{
					"code": "85008",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 24.2,
					"discounted_cash": 3.0,
					"minimum": 1.0,
					"maximum": 24.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.29
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.38,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.11
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.57
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.26
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.4,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.15,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.46,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.8,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.11
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.92
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.46,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.29,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.64,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.29,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.8,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.33,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.84
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1.0
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.43,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.12,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.52,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 4",
			"code_information": [
				{
					"code": "0564",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17996.26,
					"maximum": 21235.59,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17996.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19256.0,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17996.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17996.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 21235.59,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17996.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17996.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17996.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BSPLT TIB OSS LNG KN NMOD STM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY ABDOMINAL MASS",
			"code_information": [
				{
					"code": "49180",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3421.0,
					"discounted_cash": 2113.0,
					"minimum": 358.33,
					"maximum": 8101.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1126.25
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 383.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 519.58
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD TRANSFUSION SERVICE - 36430 - 45736430",
			"code_information": [
				{
					"code": "36430",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2505.91,
					"discounted_cash": 564.0,
					"minimum": 399.22,
					"maximum": 2505.91,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 721.51,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1405.82,
							"10th_percentile": 1405.82,
							"90th_percentile": 1405.82,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 399.22
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 558.99,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 846.96,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 570.29,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 790.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 840.75,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 809.69,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 734.03,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 705.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 598.52,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 705.8,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 790.5,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 713.43,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.53,
							"standard_charge_algorithm": "Not To Exceed $12951",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1464.18,
							"10th_percentile": 1464.18,
							"90th_percentile": 1964.87,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 564.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 677.57,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 743.83,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "584",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21605.0,
					"minimum": 15300.0,
					"maximum": 39926.6498,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 31842.49
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 20882.16
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20531.61,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20946.39,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 28086.93,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 30247.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 21605.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 39926.65,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 32170.34,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 30982.04,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 28086.93,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27006.66,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34568.53,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21983.34,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 21605.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 27006.66,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 21605.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 30247.46,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 34568.53,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 29757.23
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 21605.33,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 39211.1
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 20739.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 28619.82,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 32827.31
						}
					]
				}
			]
		},
		{
			"description": "Bumex Injection",
			"drug_information": {
				"unit": 10.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "00641600710",
					"type": "NDC"
				},
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 1.0,
							"10th_percentile": 0.5,
							"90th_percentile": 2.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 51.76,
							"median_amount": 1.7,
							"10th_percentile": 1.7,
							"90th_percentile": 1.7,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 0.57,
							"10th_percentile": 0.57,
							"90th_percentile": 0.57,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY ENDOMYOCARDIAL",
			"code_information": [
				{
					"code": "93505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7478.22,
					"discounted_cash": 4041.0,
					"minimum": 75.03,
					"maximum": 7478.22,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5163.89,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4000.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.03
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6061.71,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4081.55,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6017.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5794.99,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 80.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5253.48,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.03
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.03
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4283.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5051.43,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 108.79
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.03
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5657.6,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5106.05,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.03
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.03
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4041.14,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4849.37,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5323.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 3",
			"code_information": [
				{
					"code": "3633",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22764.59,
					"maximum": 26862.22,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22764.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 24358.11,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22764.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22764.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 26862.22,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22764.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22764.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 22764.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BUN - 84520 - 45084520",
			"code_information": [
				{
					"code": "84520",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 113.0,
					"discounted_cash": 3.0,
					"minimum": 3.61,
					"maximum": 113.0,
					"payers_information": [
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.69
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.05,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.3
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 8.33,
							"10th_percentile": 8.33,
							"90th_percentile": 63.39,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.91,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.93,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.99,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.53,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.88
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.86
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.14,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.53,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.99,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.71
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.71
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Biopsy of prostate",
			"code_information": [
				{
					"code": "55700",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5261.05,
					"discounted_cash": 2566.0,
					"minimum": 1578.315,
					"maximum": 5261.05,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $3308",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 3308.0,
							"10th_percentile": 3308.0,
							"90th_percentile": 3308.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3279.19,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1611.36
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2540.56,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3849.33,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2591.88,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3592.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3821.1,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3679.96,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3336.09,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3207.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2720.19,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3207.78,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3592.71,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3242.46,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2566.22,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3079.46,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3380.61,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE BIOPSY TROCAR/NEEDLE",
			"code_information": [
				{
					"code": "20225",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6719.0,
					"discounted_cash": 2113.0,
					"minimum": 213.61,
					"maximum": 6719.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1980.12
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 228.56
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.73
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC DX W/O WASHINGS",
			"code_information": [
				{
					"code": "31645",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9884.64,
					"discounted_cash": 2278.0,
					"minimum": 213.61,
					"maximum": 9884.64,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2910.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2255.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3417.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2300.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3391.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3266.68,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 228.56
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2961.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2414.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.73
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2878.31,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 213.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2733.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3000.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BUNDLE OF HIS RECORDING - 93600 - 45793600",
			"code_information": [
				{
					"code": "93600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15943.0,
					"discounted_cash": 9982.0,
					"minimum": 65.65,
					"maximum": 15943.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12755.94,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1155.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9882.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14973.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10082.34,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14863.96,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14314.92,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.25
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12977.26,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10581.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.19
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12613.06,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11979.01,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13150.46,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOSURE HA SCRW 8X30MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BONE CEMENT 70 GRAMS",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC W/ASP TREE SUBS",
			"code_information": [
				{
					"code": "31646",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4053.2,
					"discounted_cash": 500.0,
					"minimum": 157.01,
					"maximum": 4053.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 639.66,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 495.57,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 157.01
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 750.87,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 505.59,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 700.81,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 745.36,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 717.83,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 168.0
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 650.75,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 625.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 157.01
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 157.01
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 530.61,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 625.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 227.66
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 157.01
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 700.81,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.49,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 157.01
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 157.01
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 500.58,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 600.7,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 659.44,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIOTINIDASE (BD)",
			"code_information": [
				{
					"code": "82261",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 137.0,
					"discounted_cash": 16.0,
					"minimum": 15.9,
					"maximum": 137.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.61
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.56,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 107.91
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 90.64
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.6
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.7,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.31,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.04,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.62,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.12
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.01
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.93,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.09,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.88,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.09,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.06
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.62,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.32,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.67
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.67
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.24,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.22,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE CEMENT AUTOPLEX W/VERTAPL",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC W/BRUSHING",
			"code_information": [
				{
					"code": "31623",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3971.1,
					"discounted_cash": 2278.0,
					"minimum": 303.33,
					"maximum": 3971.1,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2910.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2255.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 303.33
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3417.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2300.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3391.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3266.68,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 324.56
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2961.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 303.33
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 303.33
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2414.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 439.83
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 303.33
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2878.31,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 303.33
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 303.33
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2733.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3000.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BUTTON TIGHTROPE ABS ROUND 14M",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BONE DISEASES AND ARTHROPATHIES WITH MCC",
			"code_information": [
				{
					"code": "553",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13205.0,
					"minimum": 9589.3152,
					"maximum": 24772.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 20311.76
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 14681.7
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12553.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12807.2,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 17166.51,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 18487.01,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 13205.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 24402.86,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 19662.26,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 18935.98,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 17166.51,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16506.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21128.02,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13441.22,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 13205.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 16506.26,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 13205.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 18487.01,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 21128.02,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 20533.49
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 13205.01,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 17776.1
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 12680.4,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 17498.95,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 20939.95
						}
					]
				}
			]
		},
		{
			"description": "BX ABD/RETROPERIT MASS PRQ NDL",
			"code_information": [
				{
					"code": "49180",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8101.2,
					"discounted_cash": 2113.0,
					"minimum": 358.33,
					"maximum": 8101.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1126.25
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 383.41
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 519.58
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 358.33
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE FIBER 3 DEMIN 50X10MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BX BREAST 1ST LESION STRTCTC",
			"code_information": [
				{
					"code": "19081",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4044.09,
					"discounted_cash": 2113.0,
					"minimum": 632.17,
					"maximum": 4044.09,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.17
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 676.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.17
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.17
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 916.65
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.17
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.17
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 632.17
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1751.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BIPOLAR DISORDERS - SOI : 1",
			"code_information": [
				{
					"code": "7531",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3406.1,
					"maximum": 4019.2,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3406.1,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3644.53,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3406.1,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3406.1,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4019.2,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3406.1,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3406.1,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3406.1,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE PUTTY MONTAGE 5CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BX BREAST ADD LESION US IMAG",
			"code_information": [
				{
					"code": "19084",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3021.95,
					"minimum": 506.7,
					"maximum": 3021.95,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 506.7
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 542.17
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 506.7
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 506.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 734.72
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 506.7
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 506.7
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 506.7
						}
					]
				}
			]
		},
		{
			"description": "BIPOLAR DISORDERS - SOI : 3",
			"code_information": [
				{
					"code": "7533",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7316.81,
					"maximum": 8633.84,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7828.99,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8633.84,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7316.81,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE SUBSTITUTE TACTOSET",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BSHNG FEM OSS KN PE AUX 2PK",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "C DIFFICILE TOX AMP PROCE TECH",
			"code_information": [
				{
					"code": "87493",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 288.79,
					"discounted_cash": 37.0,
					"minimum": 17.1,
					"maximum": 288.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 94.87
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 276.64
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 232.38
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 162.01,
							"10th_percentile": 162.01,
							"90th_percentile": 162.02,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.07
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.91,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.64,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.51
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.45,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.51,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.22
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.09,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.72,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.1,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLD TYP AG TSTG RGNT SERUM - 86902 - 45103008",
			"code_information": [
				{
					"code": "86902",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16.73,
					"discounted_cash": 458.0,
					"minimum": 2.62,
					"maximum": 920.05,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.33
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.8
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.5
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2.62
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.73,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BOSTON GUIDEWIRE STRAIT 260CM",
			"code_information": [
				{
					"code": "C1769",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 498.96,
							"10th_percentile": 498.96,
							"90th_percentile": 498.96,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 617.04,
							"10th_percentile": 17.91,
							"90th_percentile": 797.49,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BTN CBL 2.5MM HEX FEM TIV PA",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "C PEPTIDE LC 1",
			"code_information": [
				{
					"code": "84681",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 68.67,
					"discounted_cash": 20.0,
					"minimum": 20.46,
					"maximum": 68.67,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.25
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.7
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.89
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.67
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.36
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.36
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.46
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD CULTURE ROUTINE LABCORP",
			"code_information": [
				{
					"code": "87040",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 34.06,
					"discounted_cash": 10.0,
					"minimum": 10.2168,
					"maximum": 381.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.91
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.19,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.06
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.06
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.78
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.22,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.3
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.48,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.42,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.37
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.02
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.42,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.3
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.3
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.94,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.94
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.3
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.45,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.04,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.3
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.54
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.3
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.32,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.38,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.6,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 1",
			"code_information": [
				{
					"code": "0561",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4859.5,
					"maximum": 5734.21,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4859.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5199.66,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4859.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4859.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5734.21,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4859.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4859.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4859.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BUN - 84520 - 40184520",
			"code_information": [
				{
					"code": "84520",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 69.0,
					"discounted_cash": 3.0,
					"minimum": 3.61,
					"maximum": 113.0,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.3
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 8.33,
							"10th_percentile": 8.33,
							"90th_percentile": 63.39,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.91,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.93,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.99,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.53,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.88
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.66
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.86
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.14,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.19,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.94,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.53,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.99,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.71
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.71
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.61
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.74,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.2,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.69
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.05,
							"additional_payer_notes": "127.78% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CA 19-9 LC 1",
			"code_information": [
				{
					"code": "86301",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 68.67,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD GAS W/O2 SAT",
			"code_information": [
				{
					"code": "82805",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 433.24,
					"discounted_cash": 78.0,
					"minimum": 27.88,
					"maximum": 433.24,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 76.73
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 100.65,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 180.68
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 151.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 243.05,
							"10th_percentile": 243.05,
							"90th_percentile": 243.05,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.9
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 77.98,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.88
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 118.16,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 79.56,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 110.28,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 223.81,
							"10th_percentile": 223.81,
							"90th_percentile": 223.81,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 117.29
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 112.96
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.83
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.4,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.46,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.88
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.88
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 98.46,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.43
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.88
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 110.28,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 99.53,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.88
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.88
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 78.77,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 94.52,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 103.77,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 3",
			"code_information": [
				{
					"code": "0563",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10472.73,
					"maximum": 12357.82,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10472.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11205.82,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10472.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10472.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12357.82,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10472.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10472.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10472.73,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CA125 SER LC",
			"code_information": [
				{
					"code": "86304",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 114.46,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 112.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 3.73,
							"10th_percentile": 3.73,
							"90th_percentile": 64.22,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD PROCESSING DIRECTED LS",
			"code_information": [
				{
					"code": "86999",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1500.0,
					"discounted_cash": 37.0,
					"minimum": 17.92,
					"maximum": 1500.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.65,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.53,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.39,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.83,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.12,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.09,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.24,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.83,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.78,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.92
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.92
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.42,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.77,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN IMAGE W/FLOW 4+VIEWS",
			"code_information": [
				{
					"code": "78606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2522.5,
					"discounted_cash": 694.0,
					"minimum": 207.78,
					"maximum": 2522.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 605.45
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 887.99,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 704.15
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 591.48
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1021.26
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 687.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.78
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1042.38,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 701.87,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 972.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1034.74,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 996.52,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 222.32
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 903.4,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 868.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.78
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.78
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 736.62,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 868.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 301.28
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.78
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 972.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 878.04,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.78
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 981.79
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 981.79
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.78
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 833.9,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 915.45,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 1",
			"code_information": [
				{
					"code": "8421",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10311.59,
					"maximum": 12167.68,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10311.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11033.4,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10311.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10311.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 12167.68,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10311.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10311.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10311.59,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CABLE ORTH COCR 1.8MM 635MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD PRODUCT IRRADIATION LS",
			"code_information": [
				{
					"code": "86945",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 134.99,
					"discounted_cash": 47.0,
					"minimum": 17.92,
					"maximum": 134.99,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.82
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 61.07,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 115.65
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 97.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.31,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.87
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.69,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.27,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 71.16,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.53,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.89
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.13,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.87
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.87
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 50.66,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.74,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.86
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.87
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 66.91,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.38,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.87
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.92
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.92
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.87
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.35,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 62.96,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRNG TIBL 22MM OSS KNEE",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 4",
			"code_information": [
				{
					"code": "8424",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 92524.47,
					"maximum": 109178.87,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 92524.47,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 99001.18,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 92524.47,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 92524.47,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 109178.87,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 92524.47,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 92524.47,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 92524.47,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CADMIUM LC",
			"code_information": [
				{
					"code": "82300",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 24.44,
					"discounted_cash": 23.0,
					"minimum": 7.332,
					"maximum": 129.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.4,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.6
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.88,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.6
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.6
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.6
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.6
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.6
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.64,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.44,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE CEMENT 40 GRAMS S&N",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 1",
			"code_information": [
				{
					"code": "1381",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 2414.91,
					"maximum": 2849.59,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2414.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2583.95,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2414.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2414.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2849.59,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2414.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2414.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 2414.91,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BONE MARROW HARVEST AUTOLOG",
			"code_information": [
				{
					"code": "38232",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 33328.3,
					"discounted_cash": 5574.0,
					"minimum": 150.04,
					"maximum": 33328.26,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7123.19,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3797.43
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5518.71,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8361.68,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5630.19,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7804.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8300.36,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7993.76,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.54
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7246.79,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6968.06,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5908.92,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6968.06,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.56
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7804.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7043.41,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6689.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7343.5,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				},
				{
					"setting": "outpatient",
					"gross_charge": 33328.26,
					"discounted_cash": 5574.0,
					"minimum": 150.04,
					"maximum": 33328.26,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7123.19,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3797.43
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5518.71,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8361.68,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5630.19,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7804.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8300.36,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7993.76,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 160.54
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7246.79,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6968.06,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5908.92,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6968.06,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 217.56
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7804.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7043.41,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 150.04
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5574.45,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6689.34,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7343.5,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 2",
			"code_information": [
				{
					"code": "1382",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3832.26,
					"maximum": 4522.07,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3832.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4100.52,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3832.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3832.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4522.07,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3832.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3832.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 3832.26,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CALCIUM",
			"code_information": [
				{
					"code": "82310",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 225.0,
					"discounted_cash": 5.0,
					"minimum": 4.7,
					"maximum": 225.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.94
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.06
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 126.23,
							"10th_percentile": 126.23,
							"90th_percentile": 126.23,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.88
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.11,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.74,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.68
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.4
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.03
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.71,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.47,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.52,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.76
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.76
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.19,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BOOSTRIX T-DAP",
			"drug_information": {
				"unit": 0.5,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "58160084252",
					"type": "NDC"
				},
				{
					"code": "90715",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 139.32,
							"10th_percentile": 135.42,
							"90th_percentile": 139.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.0,
							"median_amount": 283.55,
							"10th_percentile": 283.55,
							"90th_percentile": 283.55,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHITIS AND ASTHMA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "203",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 6974.0,
					"minimum": 5797.42,
					"maximum": 18558.492,
					"payers_information": [
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 12888.71,
							"additional_payer_notes": "184.80% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 10384.9,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "case rate",
							"standard_charge_dollar": 10001.3,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9066.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8718.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11159.06,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 7105.48,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 8718.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "case rate",
							"standard_charge_dollar": 9764.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
							"plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 11159.06,
							"additional_payer_notes": "160.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "case rate",
							"standard_charge_dollar": 10557.69
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.41,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "case rate",
							"standard_charge_dollar": 5797.42
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 9250.53,
							"additional_payer_notes": "138.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 11169.04
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "case rate",
							"standard_charge_dollar": 10833.97
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 7923.89
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6636.25,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6770.31,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "case rate",
							"standard_charge_dollar": 6703.28,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "case rate",
							"standard_charge_dollar": 9066.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Commercial",
							"methodology": "case rate",
							"standard_charge_dollar": 9764.17,
							"additional_payer_notes": "140.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CALCIUM IONIZED LC",
			"code_information": [
				{
					"code": "82330",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 75.24,
					"discounted_cash": 13.0,
					"minimum": 13.542,
					"maximum": 75.24,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.95
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 75.24
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 73.78
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.52,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.82,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.15,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.37
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.78,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.23
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.15,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.23
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.23
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.42,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.02,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BX BONE MARROW NEEDLE/TROCAR",
			"code_information": [
				{
					"code": "38221",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4044.09,
					"discounted_cash": 2113.0,
					"minimum": 195.83,
					"maximum": 4044.09,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 415.67
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 195.83
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 209.54
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 195.83
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 195.83
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 283.95
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 195.83
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 195.83
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 195.83
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CALCIUM IONIZED LC 1",
			"code_information": [
				{
					"code": "82330",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 45.14,
					"discounted_cash": 13.0,
					"minimum": 13.542,
					"maximum": 75.24,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.95
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.48,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.85
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.54,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.52,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.82,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.15,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.37
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.62
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.93
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.78,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.5,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.1,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.23
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.15,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.28,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.23
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.23
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.95
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.68,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.42,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.02,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 2",
			"code_information": [
				{
					"code": "1322",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4672.92,
					"maximum": 5514.05,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4672.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5000.02,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4672.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4672.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 5514.05,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4672.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4672.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 4672.92,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BSPLT GLEND CMNTLS W/SCRW 24MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BX BONE TROCAR/NDL SUPERFICIAL",
			"code_information": [
				{
					"code": "20220",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7035.0,
					"discounted_cash": 2113.0,
					"minimum": 122.3,
					"maximum": 7035.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 963.37
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 122.3
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 130.86
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 122.3
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 122.3
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 177.34
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 122.3
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 122.3
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 122.3
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CALCIUM SER LC 4",
			"code_information": [
				{
					"code": "82310",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 50.4,
					"discounted_cash": 5.0,
					"minimum": 4.7,
					"maximum": 225.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.94
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.06
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 126.23,
							"10th_percentile": 126.23,
							"90th_percentile": 126.23,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.88
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.11,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.74,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.21,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.68
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.4
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.03
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.71,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.47,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.45,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.22,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.52,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.76
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.76
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 4.7
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.16,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.19,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.8,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN IMAGE 4+VIEWS",
			"code_information": [
				{
					"code": "78605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2522.5,
					"discounted_cash": 694.0,
					"minimum": 169.3,
					"maximum": 2522.5,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 903.4,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 868.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 169.3
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 169.3
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 736.62,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 868.65,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 245.49
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 169.3
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 972.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 878.04,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 169.3
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 385.04
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 385.04
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 169.3
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 833.9,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 915.45,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 352.15
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 887.99,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 617.62
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 518.8
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 400.53
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 687.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 169.3
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1042.38,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 701.87,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 972.89,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 694.92,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1034.74,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 996.52,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 181.15
						}
					]
				}
			]
		},
		{
			"description": "BUNDLE OF HIS RECORDING - 93600 - 45993600",
			"code_information": [
				{
					"code": "93600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15943.0,
					"discounted_cash": 9982.0,
					"minimum": 65.65,
					"maximum": 15943.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12755.94,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1155.55
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9882.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14973.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10082.34,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14863.96,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14314.92,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 70.25
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12977.26,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10581.46,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12478.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 95.19
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13975.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12613.06,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 65.65
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9982.51,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11979.01,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13150.46,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "C DIFF AMPLIFIED PROBE",
			"code_information": [
				{
					"code": "87493",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 57.0,
					"discounted_cash": 37.0,
					"minimum": 17.1,
					"maximum": 288.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.0
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.0
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 162.01,
							"10th_percentile": 162.01,
							"90th_percentile": 162.02,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.0
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.91,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.64,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.51
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.45,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.51,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.22
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.09,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 57.0
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.72,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.1,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "Calcium, Urine QN TIMED",
			"code_information": [
				{
					"code": "82340",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 227.0,
					"discounted_cash": 6.0,
					"minimum": 5.9697,
					"maximum": 227.0,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.32
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.77
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.56
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.72
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.97,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.15
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.05,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.09,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.98
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.65
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.58
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.84,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.15
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.15
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.39,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.54,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.92
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.15
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.44,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.62,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.15
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.25
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.25
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.15
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.03,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.24,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.94,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 3",
			"code_information": [
				{
					"code": "8423",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32270.5,
					"maximum": 38079.19,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32270.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 34529.44,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32270.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32270.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 38079.19,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32270.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32270.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 32270.5,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "C-REACTIVE PROTEIN HIGH SENS",
			"code_information": [
				{
					"code": "86141",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 126.63,
					"discounted_cash": 12.0,
					"minimum": 8.85,
					"maximum": 126.63,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.01
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.55,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 83.16
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 69.85
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 71.04,
							"10th_percentile": 71.04,
							"90th_percentile": 100.29,
							"count": "29"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.33
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.82,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.43,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.08,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 60.81,
							"10th_percentile": 60.81,
							"90th_percentile": 60.81,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.28
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.57
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 9.47
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.84,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.19,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.73,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.19,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.83
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.36,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.01
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.85
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.95,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.54,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.06,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CALCULI INFRARED LC 1",
			"code_information": [
				{
					"code": "82365",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 13.14,
					"discounted_cash": 12.0,
					"minimum": 3.942,
					"maximum": 13.14,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.77,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.03,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 1",
			"code_information": [
				{
					"code": "3631",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9470.93,
					"maximum": 11175.7,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9470.93,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 10133.9,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9470.93,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9470.93,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 11175.7,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9470.93,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9470.93,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 9470.93,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BUTON FIXATION ULTRA CL",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CA 15-3 27-29 LC 1",
			"code_information": [
				{
					"code": "86300",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 68.67,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC CANN SCREW 4.0X30MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 2",
			"code_information": [
				{
					"code": "3632",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16578.9,
					"maximum": 19563.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16578.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17739.42,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16578.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16578.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19563.1,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16578.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16578.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16578.9,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "BUTTON ROUND ABS 20MM TIGHTROP",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CA 15-3 LC",
			"code_information": [
				{
					"code": "86300",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 114.46,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 112.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC CANN SCREW 4.0X40MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Brethine Inj",
			"drug_information": {
				"unit": 1.0,
				"type": "ML"
			},
			"code_information": [
				{
					"code": "63323066501",
					"type": "NDC"
				},
				{
					"code": "J3105",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 50.0,
							"median_amount": 92.2,
							"10th_percentile": 92.2,
							"90th_percentile": 92.2,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "C REACTIVE PROTEIN LC 4",
			"code_information": [
				{
					"code": "86140",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 17.09,
					"discounted_cash": 5.0,
					"minimum": 5.127,
					"maximum": 17.09,
					"payers_information": [
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.28
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.28
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.49,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.48,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.66
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.28
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.55,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.28
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 8.8
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.28
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.22,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.82,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.99
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.09
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 10.92
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.13,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.28
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.77,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.23,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.25,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.71
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 7.43
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.65
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 5.18,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 6.73,
							"additional_payer_notes": "130.00% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CA 19-9 LC",
			"code_information": [
				{
					"code": "86301",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 114.46,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 112.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC LOCK SCREW 5.9X42MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRNG 79/83MMX12MM VNGRD ARCM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "C1 ESTERASE INH LC",
			"code_information": [
				{
					"code": "86160",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 39.6,
					"discounted_cash": 12.0,
					"minimum": 11.88,
					"maximum": 117.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.45
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.33,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.6
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.6
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 37.04,
							"10th_percentile": 2.27,
							"90th_percentile": 37.04,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 25.34
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 11.88,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.06
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.0,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.12,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.8,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.87
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.21
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.9
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.6,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.06
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.06
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.72,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.0,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 17.49
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.06
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 16.8,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.16,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.06
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.41
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.41
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.06
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.0,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.4,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.81,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CABLE SS W/CLAMP ACCESS 2.0MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANC LOCK SCREW 5.9X50MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRNG TIB LIP CR VNGRD 18/75MM",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CA 125 LC",
			"code_information": [
				{
					"code": "86304",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 114.46,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 112.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 3.73,
							"10th_percentile": 3.73,
							"90th_percentile": 64.22,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC LOCK SCREW 5.9X75MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 3",
			"code_information": [
				{
					"code": "1383",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6974.4,
					"maximum": 8229.79,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.4,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 7462.61,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.4,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.4,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 8229.79,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.4,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.4,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 6974.4,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CA 125 LC 1",
			"code_information": [
				{
					"code": "86304",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 68.67,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 3.73,
							"10th_percentile": 3.73,
							"90th_percentile": 64.22,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW 5.9X48MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 4",
			"code_information": [
				{
					"code": "1384",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13157.96,
					"maximum": 15526.39,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13157.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 14079.02,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13157.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13157.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 15526.39,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13157.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13157.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 13157.96,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CA 15-3 27-29 LC 3",
			"code_information": [
				{
					"code": "86300",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 68.67,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 68.67
						}
					]
				}
			]
		},
		{
			"description": "CALCITONIN LC 1",
			"code_information": [
				{
					"code": "82308",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 88.41,
					"discounted_cash": 26.0,
					"minimum": 26.5221,
					"maximum": 88.41,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 72.41
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.23,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 88.41
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 88.41
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.52
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.52,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.32
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.19,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.06,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.89
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 38.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.23
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 34.83,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.32
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.32
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.4,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.49,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.61
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.32
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.51,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.32
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 45.52
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.32
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.79,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.15,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.29,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW F-T 6.5X70MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC BX SGL/MLT SITES",
			"code_information": [
				{
					"code": "31625",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5930.79,
					"discounted_cash": 2278.0,
					"minimum": 288.9,
					"maximum": 5930.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2910.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2255.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 288.9
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3417.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2300.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3391.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3266.68,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 309.12
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2961.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 288.9
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 288.9
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2414.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 418.91
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 288.9
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2878.31,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 288.9
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 288.9
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2733.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3000.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CA 27.29 LC",
			"code_information": [
				{
					"code": "86300",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 114.46,
					"discounted_cash": 20.0,
					"minimum": 14.8,
					"maximum": 114.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 56.27
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.59,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 114.46
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 112.26
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 43.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.6,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 31.22,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.02,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 30.99
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 15.84
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.05,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.06,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.01,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 21.46
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 29.13,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.29,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 35.38
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 14.8
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.81,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.97,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.41,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC HEXALOBE SCREW 4.0X35MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW F-T 6.5X90MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC DX W/W/O FLUOR&WASH",
			"code_information": [
				{
					"code": "31622",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5930.79,
					"discounted_cash": 2278.0,
					"minimum": 236.58,
					"maximum": 5930.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2910.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2255.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.58
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3417.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2300.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3391.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3266.68,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 253.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2961.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.58
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.58
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2414.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 343.04
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.58
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2878.31,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.58
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 236.58
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2733.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3000.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CABG ARTERY-VEIN THREE",
			"code_information": [
				{
					"code": "33519",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2250.0,
					"minimum": 436.5,
					"maximum": 2250.0,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 763.13
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 816.55
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 763.13
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 763.13
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 1106.54
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 763.13
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 763.13
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 763.13
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW CANN 4.0X46MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANCELLOUS SCREW 5.9X36MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHOSC W/LAVAGE ALVEOLAR - 31624 - 44231624",
			"code_information": [
				{
					"code": "31624",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8085.7,
					"discounted_cash": 2278.0,
					"minimum": 306.0,
					"maximum": 9884.64,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2910.92,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1219.24
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2255.24,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3417.03,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2300.8,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3391.97,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3266.68,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 327.42
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2961.43,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2414.7,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2847.53,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 443.7
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3189.23,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2878.31,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 306.0
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2278.02,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2733.62,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3000.95,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW CANN 4.0X60MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANCELLOUS SCRW SH LK 4.2X16MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BSHNG TIB OSS KN PE LFRIC",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "Calculi, Urinary",
			"code_information": [
				{
					"code": "82360",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 13.14,
					"discounted_cash": 12.0,
					"minimum": 3.942,
					"maximum": 70.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.74,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.0,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 53.1,
							"standard_charge_algorithm": "Not To Exceed $4299",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 13.41,
							"10th_percentile": 13.41,
							"90th_percentile": 13.41,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.13
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 12.87,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 13.14,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW FT 3X16MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BSPLT TIB TOT KNEE UNI TRI SZ2",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW LOCK 3.0MMX12MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW 3.75X34MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BSPLT TIB UNVRSL TOT KNEE SZ 6",
			"code_information": [
				{
					"code": "C1776",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 18000.0,
							"10th_percentile": 18000.0,
							"90th_percentile": 18000.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 19248.0,
							"10th_percentile": 19248.0,
							"90th_percentile": 19248.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANCEL LK SCRW 4.2MMX12MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW 9MM THREAD 4.0X50MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BTN CBL 5.5MM 2.5MM CBL RD",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANC LOCK SCREW 5.9X36MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANCELLOUS CRUSHED CHIPS 15CC",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW FULL THREAD 6.5X90MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANC LOCK SCREW 5.9X48MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCREW 6.5X80MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW THREADED 4.5X55.0MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 2",
			"code_information": [
				{
					"code": "8422",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16502.58,
					"maximum": 19473.04,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16502.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 17657.76,
							"additional_payer_notes": "107% of State Medicaid Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16502.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16502.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 19473.04,
							"additional_payer_notes": "118% of State Medicaid Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16502.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16502.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "case rate",
							"standard_charge_dollar": 16502.58,
							"additional_payer_notes": "100% of State Medicaid Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC LOCK SCREW 5.9X70MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCREW 6.5X85MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CAP LOCKING 2.0T BIEDERMANN",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW 5.9X54MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW 4.0X60MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CAP LOCKING 3.5T",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "BX BREAST 1ST LESION US IMAG",
			"code_information": [
				{
					"code": "19083",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6470.15,
					"discounted_cash": 2113.0,
					"minimum": 613.92,
					"maximum": 6470.15,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2701.1,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "case rate",
							"standard_charge_dollar": 1751.93
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2092.68,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 613.92
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3170.73,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2134.96,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3147.48,
							"additional_payer_notes": "148.90% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3031.22,
							"additional_payer_notes": "143.40% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 656.89
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2747.97,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 613.92
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 613.92
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2240.65,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2642.28,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 890.18
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 613.92
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2959.35,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2670.85,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 613.92
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 613.92
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2113.82,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2536.58,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 2784.64,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW CANN 4.0X55MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW 6.5X95MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CAPPILLARY BLOOD DRAW",
			"code_information": [
				{
					"code": "36416",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 45.0,
					"minimum": 3.44,
					"maximum": 45.0,
					"payers_information": [
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.44
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 3.44
						}
					]
				}
			]
		},
		{
			"description": "CANC SCREW CANN 4.0X70MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANN SCRW SYS TITANI 6.5X75MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CAPSOONE  UBS",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 0.66,
							"10th_percentile": 0.66,
							"90th_percentile": 0.66,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "C DIFF AMPLIFIED PROBE REVOGEN",
			"code_information": [
				{
					"code": "87493",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 186.35,
					"discounted_cash": 37.0,
					"minimum": 17.1,
					"maximum": 288.79,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 94.87
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.62,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 186.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 186.35
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 162.01,
							"10th_percentile": 162.01,
							"90th_percentile": 162.02,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 74.07
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 36.9,
							"additional_payer_notes": "99.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of CA TriWest Medicare",
							"plan_name": "Blue Shield Of CA TriWest Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.91,
							"additional_payer_notes": "150.00% of Medicare Rates"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.64,
							"additional_payer_notes": "101.00% of Medicare Rates"
						},
						{
							"payer_name": "Choice Physicians Network",
							"plan_name": "Choice Physicians Network Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Elite Health Plan",
							"plan_name": "Elite Health Plan (Medicare)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Epic Health Plan",
							"plan_name": "Epic Health Plan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES (TRICARE)",
							"plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 55.5
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 53.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.51
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 48.45,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 39.51,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 46.59,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 33.22
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 52.18,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 47.09,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 59.65
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.91
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 37.27,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.72,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 49.1,
							"additional_payer_notes": "131.74% of Medicare Rates"
						}
					]
				}
			]
		},
		{
			"description": "CANCEL  SCRW 4.0 SM HD",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANNULA NASAL OXYGEN",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 3.0,
							"10th_percentile": 3.0,
							"90th_percentile": 3.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CARBON MONOXIDE DIFF (DLCO)",
			"code_information": [
				{
					"code": "94729",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 313.5,
					"minimum": 41.45,
					"maximum": 313.5,
					"payers_information": [
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 207.59
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 174.37
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 175.87,
							"10th_percentile": 175.87,
							"90th_percentile": 175.88,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 103.67
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Sheild Of Promise Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.45
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 44.35
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.45
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.45
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 60.1
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.45
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.45
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 64.05,
							"median_amount": 200.8,
							"10th_percentile": 200.8,
							"90th_percentile": 200.8,
							"count": "1 through 10"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 41.45
						}
					]
				}
			]
		},
		{
			"description": "CABLE COBALT W/CLAMP ACC 2.0MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANCELLOUS SCREW LOCK 4.2X32MM",
			"code_information": [
				{
					"code": "C1713",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 40.0,
							"standard_charge_algorithm": "Not To Exceed $55125",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 1435.2,
							"10th_percentile": 1435.2,
							"90th_percentile": 17874.0,
							"count": "1 through 10"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 48.12,
							"standard_charge_algorithm": "Not To Exceed $37944",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 7354.24,
							"10th_percentile": 60.63,
							"90th_percentile": 18868.93,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 35.0,
							"median_amount": 8732.5,
							"10th_percentile": 3298.75,
							"90th_percentile": 20485.5,
							"count": "1 through 10"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 42.4,
							"median_amount": 9937.61,
							"10th_percentile": 9937.61,
							"90th_percentile": 9937.61,
							"count": "1 through 10"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 47.48,
							"median_amount": 4988.79,
							"10th_percentile": 4988.79,
							"90th_percentile": 14814.32,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CANNULA TRACH INNER",
			"code_information": [
				{
					"code": "Z7610",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"minimum": 1.0,
					"maximum": 244.85,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 65.0,
							"median_amount": 3.0,
							"10th_percentile": 3.0,
							"90th_percentile": 3.0,
							"count": "1 through 10"
						}
					]
				}
			]
		},
		{
			"description": "CARCINOEMBRYONIC AG (CEA)",
			"code_information": [
				{
					"code": "82378",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 371.14,
					"discounted_cash": 18.0,
					"minimum": 18.7704,
					"maximum": 371.14,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.23
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"methodology": "fee schedule",
							"standard_charge_dollar": 27.19
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.69
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.65,
							"additional_payer_notes": "130.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Commercial Ins Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.7,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.34
						},
						{
							"payer_name": "Heritage Victor Valley Medical Group",
							"plan_name": "Heritage Victor Valley Medical Group Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Med-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.34
						},
						{
							"payer_name": "HIGH DESERT PACE",
							"plan_name": "HIGH DESERT PACE Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "High Desert Primary Care",
							"plan_name": "High Desert Primary Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Imperial Health Plan Of CA",
							"plan_name": "Imperial Health Plan Of CA Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 20.1,
							"additional_payer_notes": "106.00% of Medicare Rates"
						},
						{
							"payer_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE",
							"plan_name": "INLAND EMPIRE FOUNDATION FOR MEDICAL CARE Workers Comp",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.7,
							"additional_payer_notes": "125.00% of Medicare Rates"
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 28.04
						},
						{
							"payer_name": "Inland Empire Health Plan",
							"plan_name": "Inland Empire Healthplan Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.34
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"methodology": "fee schedule",
							"standard_charge_dollar": 26.54,
							"additional_payer_notes": "140.00% of Medicare Rates"
						},
						{
							"payer_name": "Prime Health Services INC",
							"plan_name": "Prime Health Services Inc",
							"methodology": "fee schedule",
							"standard_charge_dollar": 23.96,
							"additional_payer_notes": "126.35% of Medicare Rates"
						},
						{
							"payer_name": "Renal Payor Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "The Geo Group Inc",
							"plan_name": "The Geo Group Inc Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.34
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial All Payers",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Commercial Select Navigate Core",
							"methodology": "fee schedule",
							"standard_charge_dollar": 32.24
						},
						{
							"payer_name": "UHC",
							"plan_name": "UHC Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medi-Cal",
							"methodology": "fee schedule",
							"standard_charge_dollar": 19.34
						},
						{
							"payer_name": "Vantage Care",
							"plan_name": "Vantage Care Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "WellPath",
							"plan_name": "WellPath Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 22.75,
							"additional_payer_notes": "120.00% of Medicare Rates"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.98,
							"additional_payer_notes": "131.74% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial",
							"methodology": "fee schedule",
							"standard_charge_dollar": 51.3
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry - fka AETNA Workers Compensation",
							"methodology": "fee schedule",
							"standard_charge_dollar": 24.23,
							"additional_payer_notes": "127.78% of Medicare Rates"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 121.71
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Exchange (03-01-2023 to 12-31-26)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 102.23
						},
						{
							"payer_name": "Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Medicare (03-01-2023 to 12-31-2026)",
							"methodology": "fee schedule",
							"standard_charge_dollar": 18.96,
							"additional_payer_notes": "100.00% of Medicare Rates"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Commercial HMO POS",
							"methodology": "percent of total billed charges",
							"standard_charge_percentage": 79.2,
							"standard_charge_algorithm": "Not To Exceed $4813",
							"additional_payer_notes": "Not to exceed limits in contract for this procedure",
							"median_amount": 208.21,
							"10th_percentile": 208.21,
							"90th_percentile": 208.21,
							"count": "1 through 10"
						},
						{
							"payer_name": "Blue Shield of CA",
							"plan_name": "Blue Shield Of CA Exchange",
							"methodology": "fee schedule",
							"standard_charge_dollar": 40.04
						},
						{
							"payer_name": "Blue Shie